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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
$1,065.91 / $1,065.91 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.58 / $1,065.91 / $1,065.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.12 / $2,430.15 / $2,913.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.98 / $2,498.00 / $3,225.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.91 / $1,437.27 / $3,197.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.53 / $1,981.08 / $2,723.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.00 / $1,783.00 / $1,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.10 / $2,110.06 / $2,723.19