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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,163.29 / $1,163.29 / $5,655.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.16 / $1,423.82 / $3,885.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.17 / $1,423.82 / $3,885.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.80 / $1,524.61 / $4,769.24