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Colorado 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
$1,697.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.20 / $1,102.20 / $1,461.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.32 / $1,651.10 / $2,277.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,878.00 / $17,708.00 / $19,041.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.78 / $1,689.62 / $2,272.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.33 / $1,447.33 / $1,959.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.66 / $1,714.53 / $2,204.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $4,965.00 / $11,259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.09 / $1,695.19 / $2,927.78