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Arizona rates for HCPCS 61737

Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.13 / $1,261.41 / $1,427.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.58 / $1,472.79 / $1,712.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.35 / $1,278.29 / $2,428.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.41 / $1,576.77 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.73 / $1,145.88 / $2,843.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.90 / $1,114.05 / $1,686.98