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Louisiana rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.42 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.73 / $739.89 / $818.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.22 / $745.14 / $1,135.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.88 / $653.62 / $1,498.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.34 / $780.41 / $1,284.45