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Michigan rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.75 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.76 / $489.98 / $667.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.13 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00