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Indiana rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $346.74 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $74.13 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $69.18 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $64.57 / $204.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $35.48 / $38.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $83.18 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $70.79 / $123.03