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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.35 / $966.35 / $5,655.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,324.16 / $9,926.11 / $18,633.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.14 / $1,599.11 / $2,132.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.00 / $2,429.52 / $3,169.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.33 / $1,836.07 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.86 / $2,418.78 / $8,693.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $2,088.17 / $3,169.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.22 / $2,423.58 / $3,169.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,538.30 / $2,846.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.47 / $2,297.89 / $2,841.56