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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.96 / $1,703.96 / $1,703.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.91 / $1,165.39 / $3,909.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.00 / $3,592.00 / $5,546.00