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Louisiana rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.22 / $941.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.02 / $95.63 / $225.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $160.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.76 / $475.84 / $762.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.83 / $115.40 / $154.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $273.57 / $273.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.29 / $96.79 / $159.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $611.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.29 / $100.24 / $173.50