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Alaska rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.25 / $1,556.75 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $95.87 / $386.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $129.59 / $315.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $208.31 / $386.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.93 / $215.93 / $400.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.75 / $264.25 / $469.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.76 / $208.31 / $386.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.83 / $232.71 / $457.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.60 / $213.08 / $324.23