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Tennessee rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,454.71 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,412.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $5,754.40 / $5,754.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,174.90