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Mississippi rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,819.70 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.02 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,445.44 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,318.26