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South 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
$1,047.56 / $9,184.99 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,233.87 / $21,484.66 / $36,983.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.28 / $1,312.00 / $2,064.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,299.00