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Michigan rates for HCPCS 61720

Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.42 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.60 / $1,666.42 / $1,730.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,993.31 / $5,828.69 / $7,940.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.07 / $1,352.92 / $3,065.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.91 / $1,601.25 / $2,475.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.90 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.90 / $1,479.87 / $1,998.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $1,058.31 / $1,643.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.17 / $1,592.30 / $2,149.44