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South Carolina 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
$2,290.87 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,073.80 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $10,964.78 / $16,982.44