go back

South Carolina rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.77 / $1,336.05 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.25 / $566.77 / $758.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.00 / $696.11 / $1,157.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.29 / $806.32 / $1,413.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.75 / $843.04 / $1,131.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $6,074.00 / $8,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.68 / $737.74 / $1,395.19