go back

Wyoming rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.53 / $475.53 / $475.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.00 / $1,128.00 / $1,817.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.88 / $838.34 / $1,138.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.65 / $1,516.86 / $2,405.06