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Minnesota 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
$1,023.29 / $1,023.29 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $6,606.93 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,311.31 / $4,897.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,244.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,290.87 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,897.79 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,187.76 / $4,265.80