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New York 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
$1,544.29 / $6,050.00 / $15,828.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.00 / $9,974.00 / $19,299.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.10 / $1,598.10 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.95 / $1,325.95 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,579.00 / $3,183.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.56 / $2,040.56 / $3,100.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,325.95 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,719.00 / $17,688.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.74 / $1,319.74 / $5,176.95