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Arizona rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.30 / $3,300.84 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.11 / $112.55 / $3,790.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00