go back

Mississippi rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.28 / $1,196.57 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.76 / $744.95 / $1,457.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.07 / $619.00 / $619.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $663.00 / $663.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.51 / $910.98 / $1,455.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $1,467.00 / $4,538.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.40 / $832.75 / $1,312.73