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Virginia rates for HCPCS 61517

Impltj Brain Intracavitary Chemotherapy Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.24 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,289.00 / $4,699.53 / $6,545.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $96.65 / $119.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $116.24 / $163.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.11 / $115.01 / $1,621.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00