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Missouri 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
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.39 / $1,136.01 / $1,265.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.00 / $1,356.43 / $2,047.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.34 / $1,641.35 / $2,633.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.38 / $1,974.09 / $12,592.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.67 / $2,070.48 / $8,693.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,849.00 / $4,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.59 / $1,665.85 / $3,348.91