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Washington, DC rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.12 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.12 / $455.12 / $455.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $544.29 / $659.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.21 / $741.12 / $1,871.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.68 / $1,014.68 / $1,014.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.44 / $809.99 / $1,347.08