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Massachusetts 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
$1,749.00 / $3,294.02 / $7,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $5,883.78 / $25,183.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,391.27 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,959.89 / $4,959.89 / $4,959.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,096.00 / $20,362.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00