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Illinois rates for HCPCS 61790

Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion

Facilitymedian $2,884 · 10th–90th $1,023–$8,5110%10%10th90th$2,884Professionalmedian $1,514 · 10th–90th $912–$5,3700%10%10th90th$1,514$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,884.03 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,019.95 / $18,620.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,513.56 / $5,370.32
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,388.44 / $6,165.95