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Iowa 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
$1,548.82 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $3,019.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,905.46 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,019.95 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,137.96 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,511.89 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $3,090.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $2,187.76 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,370.32 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $3,311.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,630.27