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North Dakota rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.20 / $474.20 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.52 / $474.20 / $474.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.36 / $982.93 / $1,161.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.15 / $959.84 / $1,413.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.20 / $640.16 / $1,422.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.86 / $892.55 / $1,215.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.40 / $950.66 / $1,215.76