go back

Hawaii rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.09 / $572.09 / $572.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.63 / $741.63 / $741.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.79 / $863.25 / $1,067.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.98 / $729.86 / $872.53