go back

Minnesota rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $28,183.83 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $2,041.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $3,019.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $1,905.46