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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
$173.78 / $2,511.89 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $75.86 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $234.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $100.00 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $194.98 / $489.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $154.88 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $60.26 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $186.21 / $295.12