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Virginia 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
$1,007.59 / $4,796.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,760.00 / $18,805.21 / $26,191.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.88 / $1,381.88 / $1,381.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.94 / $1,408.65 / $1,676.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.47 / $1,007.59 / $1,549.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $1,282.40 / $3,883.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,959.00 / $5,226.00