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Texas 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
$891.25 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,818.38 / $5,623.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $45,708.82 / $45,708.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64