go back

Rhode Island rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.37 / $641.50 / $744.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.31 / $568.60 / $1,328.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.71 / $800.10 / $1,939.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.17 / $701.32 / $1,090.58