go back

New York rates for HCPCS 61703

Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.19 / $4,682.31 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.73 / $1,731.67 / $4,918.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.00 / $9,974.00 / $17,122.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.24 / $1,465.68 / $3,573.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.09 / $1,887.09 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.09 / $1,887.09 / $1,887.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.88 / $1,559.88 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.29 / $2,351.13 / $7,102.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,499.73 / $3,866.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.70 / $1,826.72 / $2,972.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.90 / $1,564.38 / $2,487.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,559.88 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.48 / $2,351.13 / $6,864.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.89 / $1,845.57 / $4,334.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.38 / $1,564.38 / $5,554.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.90 / $1,675.17 / $3,208.66