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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,324.16 / $9,926.11 / $18,633.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.72 / $1,448.41 / $7,189.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,776.52 / $2,485.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,483.00 / $7,934.00