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North Carolina rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.26 / $132.54 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.26 / $107.02 / $174.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $202.76 / $1,300.00