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Ohio 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 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $7,943.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $870.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $933.25 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,265.80 / $7,244.36