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Idaho rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.03 / $234.35 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $116.27 / $203.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $109.07 / $166.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.33 / $126.96 / $247.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $142.51 / $172.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $122.87 / $138.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.69 / $1,385.03 / $2,085.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $115.65 / $163.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.44 / $143.88 / $215.81