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Alaska rates for HCPCS 61790

Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.68 / $4,043.45 / $5,782.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.68 / $4,043.45 / $5,782.13