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Michigan rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $162.18 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $83.18 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $63.10 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $34.67 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $69.18 / $123.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $223.87 / $3,548.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $87.10 / $147.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $74.13 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $831.76 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $77.62 / $123.03