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Rhode Island rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,548.13 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,023.29