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West Virginia rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.66 / $461.66 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.11 / $455.12 / $549.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.14 / $919.14 / $919.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.01 / $817.01 / $817.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.75 / $553.75 / $553.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.59 / $776.15 / $2,880.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.54 / $719.99 / $1,009.62