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Massachusetts rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.50 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.50 / $752.40 / $1,262.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.04 / $1,759.00 / $5,815.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.90 / $859.52 / $5,999.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.59 / $955.75 / $1,647.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $709.10 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.00 / $626.55 / $955.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.85 / $1,088.58 / $1,444.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.92 / $961.77 / $5,999.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.91 / $777.65 / $1,543.85