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Montana rates for HCPCS 61790

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.19 / $1,420.19 / $1,420.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.23 / $1,448.20 / $1,570.50