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Michigan rates for HCPCS 61736

Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.75 / $1,193.97 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,882.99 / $4,525.76 / $6,131.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.99 / $1,149.75 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00