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New York 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
$1,230.27 / $4,677.35 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $3,548.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $3,388.44