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California rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.17 / $2,704.00 / $14,472.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $116.27 / $340.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.31 / $155.31 / $155.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,465.00 / $9,244.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.14 / $135.55 / $239.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $196.84 / $1,596.84
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $145.63 / $297.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $103.62 / $572.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $115.95 / $224.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $99.78 / $147.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $90.59 / $174.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $199.68 / $219.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.00 / $1,797.00 / $1,797.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $74.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.42 / $105.56 / $179.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $119.98 / $226.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.10 / $142.10 / $276.74
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $88.46 / $139.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.00 / $1,495.00 / $5,691.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.02 / $115.90 / $210.18