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Massachusetts rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.15 / $988.00 / $3,103.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $111.50 / $340.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $502.00 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $141.90 / $1,797.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.56 / $62.89 / $113.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $122.27 / $214.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $129.12 / $238.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.06 / $102.40 / $172.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $123.31 / $251.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.99 / $394.04 / $4,822.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $33.94 / $159.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.34 / $953.00 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.20 / $188.78 / $1,797.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $143.75 / $247.82