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Ohio 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
$1,366.69 / $5,447.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.15 / $1,028.15 / $2,065.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.18 / $1,179.66 / $1,986.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.49 / $1,310.74 / $1,740.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.51 / $1,201.51 / $2,129.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.55 / $1,508.69 / $2,308.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.43 / $1,539.23 / $2,308.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.34 / $945.13 / $1,532.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.00 / $4,404.00 / $7,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.00 / $1,474.58 / $2,480.40