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Missouri rates for HCPCS 61630

Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.04 / $5,389.00 / $14,666.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,650.00 / $16,914.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $2,035.71 / $15,184.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $6,464.00 / $15,920.00