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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,981.07 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $3,548.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $2,187.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,137.96 / $3,388.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,073.80 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $3,715.35