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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $2,867.00 / $3,766.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,918.22 / $7,048.51 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.00 / $3,705.00 / $7,066.00