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Virginia rates for HCPCS 61697

Complx Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,633.00 / $5,282.00 / $11,763.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,738.20 / $20,977.18 / $29,216.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,925.10 / $4,710.12 / $5,809.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,360.93 / $5,550.53 / $7,980.50
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$1,017.18 / $1,206.85 / $1,653.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.28 / $5,239.52 / $9,807.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00