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Pennsylvania 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
$1,164.20 / $5,252.00 / $12,474.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.73 / $8,298.41 / $27,648.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.20 / $5,526.00 / $12,474.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.50 / $1,132.50 / $1,336.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $11,238.00