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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
$4,265.80 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $18,620.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,621.81 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $8,128.31