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Montana rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $89.13 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $75.86 / $138.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $123.03 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $123.03 / $141.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $77.62 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $173.78