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Indiana 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
$1,008.99 / $2,593.10 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.43 / $1,008.99 / $1,261.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.40 / $1,284.59 / $1,772.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.66 / $1,476.23 / $2,214.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.83 / $1,230.19 / $1,771.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,239.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.43 / $1,481.11 / $2,337.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,360.88 / $6,094.00 / $12,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.48 / $1,282.25 / $2,054.51