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West 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
$1,282.51 / $1,282.51 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.88 / $1,282.51 / $1,514.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.85 / $1,694.24 / $1,845.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.81 / $1,640.81 / $1,640.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.88 / $1,559.88 / $1,559.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.17 / $2,051.00 / $7,102.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.86 / $1,547.48 / $2,187.73