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New Mexico 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
$1,058.69 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.39 / $989.40 / $1,925.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.50 / $1,638.06 / $2,077.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $338.15 / $1,824.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.04 / $1,355.51 / $1,536.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.84 / $1,638.06 / $2,077.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.54 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.35 / $1,603.34 / $2,618.06