go back

Alaska rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,164.88 / $5,164.88 / $6,791.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,570.98 / $3,570.98 / $3,570.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.95 / $5,164.88 / $7,385.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $7,289.10 / $8,643.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,338.75 / $5,040.00 / $7,253.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.95 / $5,164.88 / $7,385.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.93 / $4,867.50 / $7,533.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.54 / $3,905.54 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.37 / $2,935.01 / $6,647.18