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Tennessee rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.32 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.31 / $559.85 / $665.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,388.00 / $6,183.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.68 / $655.30 / $1,123.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.64 / $743.80 / $1,417.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,815.70 / $5,984.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,741.42 / $5,999.78 / $5,999.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,512.00 / $4,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.94 / $766.16 / $1,160.54