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North Carolina 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
$1,615.00 / $11,609.00 / $18,433.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.16 / $1,699.81 / $3,253.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.00 / $22,655.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,963.05 / $14,241.37