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California rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.48 / $6,675.00 / $15,877.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $88.13 / $105.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $107.15 / $188.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $184.33 / $1,300.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.72 / $106.42 / $159.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00