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Texas 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
$944.17 / $3,925.00 / $13,792.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.83 / $1,968.11 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.99 / $16,167.79 / $16,167.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $14,241.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.08 / $1,454.05 / $2,679.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.08 / $1,465.32 / $2,728.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $9,027.00 / $20,955.00