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Idaho 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
$4,500.00 / $4,657.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.34 / $1,571.73 / $2,260.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,831.58 / $27,841.54 / $35,402.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $24,599.00 / $65,746.00