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Maine rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $371.54 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $95.50 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $69.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $95.50 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $97.72 / $147.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $93.33 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $79.43 / $151.36