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North Dakota 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 / $1,071.52 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,995.26 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,584.89 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $2,570.40