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Georgia 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
$1,311.66 / $4,733.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.53 / $2,628.21 / $5,240.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.99 / $1,861.71 / $2,859.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.35 / $1,168.35 / $1,168.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.43 / $1,259.20 / $2,605.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.00 / $4,581.00 / $7,647.00