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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,981.07 / $45,708.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,073.80 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11