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Pennsylvania rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.14 / $1,102.45 / $1,776.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.77 / $1,567.34 / $2,112.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.30 / $1,453.63 / $2,369.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.56 / $1,931.17 / $1,931.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.14 / $1,180.49 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,237.40 / $2,846.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.30 / $1,453.63 / $2,369.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.43 / $1,109.32 / $1,109.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.43 / $1,109.32 / $1,179.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,824.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.06 / $1,529.78 / $2,396.66