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Virginia 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
$999.32 / $5,636.00 / $13,209.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.21 / $1,011.85 / $1,247.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.86 / $1,225.00 / $1,688.85
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.42 / $1,205.70 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $20,974.00 / $40,876.00