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Michigan 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
$1,374.15 / $1,427.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.40 / $1,374.15 / $1,427.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.58 / $5,391.28 / $7,304.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.92 / $1,713.75 / $2,347.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.95 / $1,373.25 / $5,149.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.81 / $1,374.15 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.81 / $1,240.32 / $1,708.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.51 / $1,508.14 / $2,103.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.85 / $1,369.40 / $1,780.22