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Colorado 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
$1,697.00 / $3,189.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,878.00 / $17,708.00 / $19,041.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.95 / $1,128.33 / $1,534.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.90 / $1,350.15 / $1,735.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $4,965.00 / $11,259.00