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Indiana rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.30 / $196.09 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.00 / $5,434.68 / $8,063.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.50 / $96.23 / $111.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00