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Utah rates for HCPCS 61770

Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $11,220.18 / $26,302.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $7,244.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $3,801.89 / $5,011.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $3,388.44