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Arizona rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.58 / $476.09 / $2,463.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.06 / $3,321.60 / $5,432.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.18 / $474.90 / $593.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.78 / $615.25 / $959.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.19 / $872.57 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.34 / $618.77 / $5,741.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,336.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.34 / $611.05 / $1,029.59