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Virginia 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
$1,311.45 / $6,827.70 / $38,570.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,976.00 / $52,728.94 / $73,440.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.89 / $1,294.67 / $1,596.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.24 / $1,549.89 / $2,174.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.98 / $1,494.81 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $20,974.00 / $40,876.00