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New York rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $4,648.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,109.00 / $8,410.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.16 / $120.16 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $99.38 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.83 / $145.03 / $332.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.32 / $98.32 / $371.24