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Nebraska 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
$5,463.36 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,605.99 / $31,992.18 / $60,057.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.58 / $1,743.02 / $9,815.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.00 / $2,546.55 / $3,539.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00