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Oklahoma 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
$1,048.00 / $3,779.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.00 / $2,889.26 / $4,600.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.16 / $1,267.64 / $5,882.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.00 / $3,680.00 / $5,847.50