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West Virginia rates for HCPCS 51700

Bladder irrigation, simple, lavage and/or instillation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.08 / $510.15 / $1,398.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $64.26 / $131.31
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.75 / $22.85 / $41.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.56 / $38.56 / $47.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $155.44 / $161.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $93.85 / $226.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.00 / $709.47 / $2,862.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.44 / $98.77 / $158.47