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Maine 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
$226.46 / $7,590.01 / $8,196.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,815.99 / $81,465.64 / $91,862.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.46 / $7,590.01 / $8,196.21