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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
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,454.71 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,137.96 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,454.71 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $1,698.24 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $2,754.23