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Indiana rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.67 / $360.59 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $87.15 / $127.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,119.97 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $89.09 / $259.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.57 / $51.44 / $60.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.13 / $96.16 / $120.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.81 / $72.81 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $114.72 / $216.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.72 / $116.62 / $177.92