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Virginia 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
$1,514.28 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.51 / $1,514.28 / $1,772.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,738.20 / $20,977.18 / $29,216.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.55 / $1,633.70 / $2,240.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.95 / $1,728.10 / $3,008.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.99 / $1,789.61 / $3,404.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.06 / $1,540.87 / $1,904.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.55 / $1,801.40 / $2,559.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.00 / $1,913.00 / $3,151.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.14 / $1,765.42 / $3,379.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.14 / $1,765.42 / $3,379.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.55 / $1,614.37 / $2,923.81