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Iowa rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,096.48 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,047.13