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West Virginia 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
$1,062.81 / $1,062.81 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.14 / $1,062.81 / $1,279.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.74 / $1,404.49 / $1,530.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.19 / $1,360.19 / $1,360.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.16 / $1,293.16 / $1,293.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.31 / $1,700.24 / $5,956.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $2,450.00 / $2,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.59 / $1,234.13 / $1,794.78