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Tennessee rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.40 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $147.00 / $1,676.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00