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Massachusetts rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.79 / $1,473.20 / $3,372.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $99.44 / $322.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.84 / $37.01 / $65.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $502.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $119.69 / $663.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $43.88 / $86.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.67 / $109.99 / $191.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $111.51 / $260.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.90 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.31 / $93.04 / $141.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $92.98 / $206.42
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.55 / $367.64 / $621.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $97.33 / $254.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.29 / $201.80 / $663.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $119.13 / $278.26