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Idaho rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.20 / $621.57 / $1,185.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.62 / $834.40 / $931.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.88 / $855.18 / $1,517.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.73 / $861.02 / $1,124.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $741.49 / $826.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.54 / $712.14 / $1,044.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.77 / $933.77 / $1,124.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $892.78 / $1,432.77