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Washington, DC 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
$1,174.90 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $2,951.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,818.38 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,398.83 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $9,549.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,951.21