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California 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
$2,197.85 / $6,695.00 / $18,252.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $6,986.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,864.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.46 / $1,380.91 / $57,325.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.73 / $978.66 / $1,296.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.79 / $1,128.74 / $2,046.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,918.22 / $7,189.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.76 / $1,108.55 / $1,705.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,693.00 / $7,120.00 / $16,148.00