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Alaska rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.95 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.46 / $2,477.88 / $2,477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.13 / $1,768.13 / $1,768.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.13 / $2,477.88 / $3,543.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.93 / $2,942.10 / $4,146.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.25 / $2,031.45 / $3,124.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.13 / $2,477.88 / $3,543.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.83 / $2,101.50 / $3,334.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.50 / $2,133.92 / $3,258.41