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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.67 / $1,136.01 / $5,655.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $1,164.18 / $1,455.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.96 / $1,703.96 / $1,703.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.87 / $1,286.36 / $2,451.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.25 / $1,483.55 / $3,801.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.10 / $1,299.93 / $8,693.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $3,592.00 / $5,307.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.10 / $1,171.10 / $2,184.35