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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
$63.67 / $1,704.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $76.06 / $178.31
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.03 / $34.95 / $43.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $75.54 / $130.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $79.90 / $161.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $88.68 / $755.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $153.01 / $663.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $112.64 / $191.01