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Louisiana rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $758.58 / $1,230.27