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Arizona rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.87 / $1,343.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.05 / $96.14 / $238.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.40 / $569.02 / $997.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.94 / $50.55 / $79.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $61.10 / $61.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.99 / $100.48 / $176.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.24 / $96.14 / $202.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.30 / $125.05 / $1,797.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.92 / $113.04 / $189.35