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Maine rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $309.54 / $1,494.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $105.94 / $145.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $89.21 / $169.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $109.31 / $185.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $109.36 / $195.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.54 / $2,495.81 / $2,495.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $102.93 / $150.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.18 / $145.57 / $183.24