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Utah rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $575.44 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $72.44 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $87.10 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $100.00 / $177.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $74.13 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $104.71 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $70.79 / $128.82