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Washington, DC 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
$1,017.00 / $2,986.00 / $4,975.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.01 / $2,064.90 / $2,064.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $6,073.00 / $26,408.00