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Montana rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $741.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $812.83 / $1,047.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $457.09 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,288.25