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New York 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
$1,171.26 / $5,324.00 / $11,547.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.34 / $1,239.34 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.51 / $1,031.51 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,480.00 / $2,418.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,587.54 / $9,587.54 / $11,834.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,031.51 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,719.00 / $17,688.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.14 / $1,032.14 / $4,195.47