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Indiana 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
$793.93 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.05 / $1,163.25 / $1,744.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,239.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,253.00 / $6,434.00 / $10,413.00