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Illinois rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $1,412.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $3,467.37
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,148.15