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New York rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.52 / $1,837.00 / $7,028.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $86.13 / $152.30
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$17.57 / $36.15 / $65.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $86.26 / $196.77
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $111.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.99 / $97.85 / $279.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $77.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.39 / $101.76 / $152.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.41 / $91.23 / $138.15
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $70.18 / $70.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.19 / $473.17 / $1,359.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $106.69 / $284.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $92.76 / $276.67
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $158.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $94.32 / $153.35