go back

West Virginia rates for HCPCS 61705

Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,467.64 / $2,467.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.71 / $2,467.64 / $2,858.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,778.90 / $3,249.42 / $3,540.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.93 / $3,146.93 / $3,146.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.93 / $2,978.93 / $2,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.36 / $3,933.66 / $13,856.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.53 / $2,997.48 / $4,201.30