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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
$831.76 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $2,089.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,258.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $794.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $977.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,659.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $1,174.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,000.00