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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.83 / $1,742.31 / $1,841.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.32 / $3,376.74 / $4,828.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.93 / $1,627.36 / $2,049.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.11 / $1,512.22 / $1,989.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,653.00 / $6,661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.21 / $1,504.00 / $2,770.96