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West 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
$837.97 / $837.97 / $3,050.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.71 / $1,106.69 / $1,205.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.51 / $1,031.51 / $1,031.51