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Nebraska rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,902.95 / $60,255.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,380.38 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,122.02 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,348.96