go back

Ohio 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
$1,558.94 / $8,279.00 / $13,463.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,932.00 / $41,191.97 / $75,194.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.09 / $1,336.54 / $1,654.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,339.49 / $10,339.49 / $10,339.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.00 / $10,707.00 / $15,469.00