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Pennsylvania 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
$902.01 / $3,839.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.01 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.88 / $1,381.88 / $1,381.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.37 / $876.37 / $995.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00