| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.55 | $835.55 | $8,500.00 | |
Medica
| Facility | $835.55 | $1,212.00 | $2,506.65 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.55 | $835.55 | $8,500.00 | |
Medica
| Facility | $835.55 | $1,212.00 | $2,506.65 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |