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South Carolina rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $691.83 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,230.27