go back

North Carolina 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
$859.24 / $1,369.68 / $8,413.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $1,049.04 / $2,261.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.00 / $6,885.00 / $9,616.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,918.22 / $7,048.51 / $26,542.00