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Indiana rates for HCPCS 61624

Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention, percutaneous, any method; central nervous system (intracranial, spinal cord)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.75 / $2,667.02 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,881.00 / $47,156.80 / $70,264.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.63 / $1,307.18 / $1,508.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,061.00 / $19,962.00