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Montana 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
Professional
Modifier
Low / Median / High Price
$1,058.67 / $1,058.67 / $1,058.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.37 / $2,310.37 / $2,310.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.51 / $2,310.37 / $2,310.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.47 / $1,418.23 / $2,310.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.64 / $1,716.27 / $2,310.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.99 / $1,877.97 / $2,045.89