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Wisconsin rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Facilitymedian $15,136 · 10th–90th $4,074$23,9880%20%10th90th$15,136Professionalmedian $617 · 10th–90th $44$2,0890%10%20%10th90th$617$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $933.25 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $467.74 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,348.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,819.70 / $2,041.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $7,413.10 / $14,454.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,202.26 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $3,388.44 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,023.29 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,949.84 / $2,137.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,174.90 / $1,949.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $2,754.23 / $6,025.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,630.27 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,000.00 / $2,137.96