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Maryland rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.33 / $455.12 / $633.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $609.88 / $677.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.31 / $690.37 / $1,680.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.82 / $607.11 / $1,010.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.44 / $610.70 / $1,039.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.04 / $478.04 / $684.72