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Connecticut rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.73 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.48 / $779.73 / $1,637.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $1,109.41 / $1,503.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.09 / $1,195.31 / $2,073.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.57 / $764.57 / $903.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.03 / $765.90 / $1,718.44