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Nebraska rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,176.85 / $13,792.24 / $25,891.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.67 / $130.52 / $4,317.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $192.13 / $269.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00