go back

Oregon 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
$2,187.76 / $2,818.38 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $3,388.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $3,019.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,137.96 / $3,090.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,165.95 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,120.11 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $3,090.30