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Oklahoma rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.04 / $439.04 / $443.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.82 / $707.85 / $981.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.84 / $1,056.60 / $5,984.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.89 / $660.97 / $5,741.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.23 / $603.80 / $810.51