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Oregon 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
$2,238.72 / $19,054.61 / $60,255.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,089.30 / $20,417.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,691.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $42,657.95 / $69,183.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $26,302.68 / $79,432.82