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Texas rates for HCPCS 61630

Balloon Angioplasty Intracranial Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,362.11 / $2,358.05 / $10,647.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.80 / $1,222.80 / $1,222.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $16,802.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.60 / $1,677.70 / $3,105.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.60 / $1,682.40 / $3,194.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00