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Pennsylvania rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.44 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.76 / $470.44 / $688.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.88 / $633.65 / $915.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.44 / $704.93 / $1,212.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.62 / $696.62 / $716.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.90 / $632.04 / $2,463.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $788.80 / $1,299.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.89 / $704.93 / $1,269.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.16 / $501.16 / $501.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.16 / $501.16 / $501.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.18 / $701.37 / $995.07