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California rates for HCPCS 61697

Complx Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,731.98 / $10,061.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,632.53 / $12,567.00 / $28,484.71
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $13,558.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.02 / $4,222.12 / $5,268.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,015.45 / $5,251.84 / $9,375.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$500.00 / $500.00 / $500.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $63,905.28 / $77,299.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,835.20 / $5,060.80 / $6,958.59
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$1,606.13 / $1,606.13 / $1,606.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00