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Indiana rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,199.52 / $43,651.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,000.00