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Missouri 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
$1,110.00 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,367.00 / $11,343.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,500.00 / $11,343.00