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Texas 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
$969.00 / $3,774.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,818.54 / $15,358.14 / $31,013.54
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,343.33 / $13,343.33 / $19,271.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.30 / $738.30 / $738.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $37,528.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.89 / $1,144.54 / $2,065.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.89 / $1,145.00 / $2,102.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $9,027.00 / $20,955.00