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Maryland 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
$0.98 / $3,040.69 / $8,823.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.26 / $1,634.92 / $2,545.67