go back

Florida rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.02 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.91 / $447.21 / $668.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.60 / $718.25 / $1,203.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,689.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.09 / $359.03 / $724.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.45 / $528.64 / $650.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $5,172.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.46 / $640.35 / $1,116.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.77 / $386.77 / $386.77