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Wisconsin 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)

Facilitymedian $14,454 · 10th–90th $4,898–$24,5470%10%10th90th$14,454Professionalmedian $2,630 · 10th–90th $1,349–$4,5710%10%10th90th$2,630$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,897.79 / $13,489.63
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $12,022.64 / $19,952.62
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $12,882.50 / $27,542.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,630.27 / $4,570.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $14,125.38 / $14,125.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $17,378.01 / $23,442.29