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Pennsylvania 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
$1,013.00 / $4,761.00 / $9,676.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,023.15 / $34,495.87 / $42,717.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,342.00 / $10,328.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.19 / $876.19 / $1,098.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $11,238.00