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North Carolina 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
$870.28 / $11,124.00 / $12,327.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.28 / $1,174.05 / $2,287.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.00 / $22,655.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,883.78 / $37,528.90