go back

California rates for HCPCS 61626

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; non-central nervous system, head or neck (extracranial, brachiocephalic branch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.46 / $9,674.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.00 / $9,260.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $16,749.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.33 / $939.13 / $1,126.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.70 / $1,113.15 / $2,006.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,883.78 / $37,528.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.90 / $1,147.33 / $1,682.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,103.00 / $18,330.00 / $45,545.00