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Oklahoma rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,318.26 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $776.25