go back

Michigan 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
$1,509.52 / $4,933.00 / $9,594.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,438.86 / $6,348.79 / $8,648.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.19 / $4,933.00 / $6,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.00 / $11,550.00 / $14,085.00