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Missouri rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.30 / $1,717.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.05 / $99.64 / $383.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $83.51 / $106.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,963.00 / $5,295.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $114.75 / $173.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $112.30 / $189.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $99.64 / $252.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.89 / $163.98 / $1,797.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $129.10 / $219.11