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Missouri rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.28 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.96 / $476.09 / $726.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.47 / $745.59 / $1,125.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.35 / $754.21 / $1,050.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $906.00 / $6,335.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.62 / $907.88 / $5,741.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,693.00 / $10,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.62 / $775.93 / $1,230.43