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Missouri rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $1,778.28 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $75.86 / $177.83
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.44 / $23.44 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $75.86 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $85.11 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $112.20 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $691.83 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $77.62 / $138.04