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Arkansas rates for HCPCS 61791

Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,494.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.31 / $1,334.11 / $1,688.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.15 / $1,828.15 / $2,193.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.21 / $2,132.48 / $2,132.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.44 / $1,336.44 / $1,336.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.72 / $1,926.95 / $2,426.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $2,052.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.58 / $1,266.18 / $2,181.51