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North Dakota 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
$835.55 / $835.55 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.55 / $1,212.00 / $2,506.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00