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Alaska rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.68 / $5,084.91 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.21 / $99.41 / $329.47
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$71.73 / $100.53 / $200.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.75 / $107.75 / $232.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.14 / $200.84 / $461.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $211.48 / $485.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $265.00 / $460.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.14 / $200.84 / $461.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $193.60 / $464.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.48 / $279.39 / $424.30