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West 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
$1,089.89 / $1,089.89 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.24 / $1,438.70 / $1,567.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.95 / $1,325.95 / $1,325.95