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Texas rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.87 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.26 / $77.26 / $77.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,300.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.44 / $110.23 / $197.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.87 / $112.40 / $199.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00