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Ohio rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.76 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.76 / $479.37 / $1,259.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,199.00 / $7,180.00 / $30,285.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.24 / $650.78 / $1,118.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.02 / $817.02 / $817.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.73 / $718.99 / $1,437.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.12 / $739.91 / $1,437.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $313.05 / $750.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.00 / $3,098.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.45 / $673.38 / $1,016.12