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Texas 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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,949.84 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,621.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,344.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $12,882.50 / $12,882.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,698.24 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,511.89 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25