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Georgia rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.02 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.76 / $555.66 / $1,255.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.31 / $5,656.86 / $12,326.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.13 / $804.53 / $1,964.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $1,046.56 / $1,955.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.20 / $667.25 / $9,391.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,587.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.62 / $806.03 / $1,205.13