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South Dakota 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
$1,023.29 / $1,023.29 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,047.13 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,019.95 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,737.80 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,630.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,511.89 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $3,019.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,467.37