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Nebraska 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
$5,463.36 / $11,100.08 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,605.99 / $31,992.18 / $60,057.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.35 / $1,501.67 / $16,787.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.03 / $1,978.44 / $2,734.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00