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Wisconsin rates for HCPCS 61517

Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $162.18 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $234.42 / $380.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $2,818.38 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $199.53 / $338.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45