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Virginia 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
$1,000.00 / $5,011.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $2,754.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,819.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,244.36 / $14,125.38