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West 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
$829.11 / $829.11 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.93 / $1,093.61 / $1,191.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.29 / $1,013.29 / $1,013.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $2,450.00 / $2,450.00