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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
$3,090.30 / $7,762.47 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $16,982.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,630.27 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $57,543.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,089.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $15,135.61