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New Mexico rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.95 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $90.12 / $150.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.94 / $1,120.17 / $1,825.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $101.03 / $136.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.38 / $64.38 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.83 / $126.04 / $186.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $32.34 / $123.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.16 / $107.16 / $193.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $126.51 / $210.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,084.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $152.72 / $204.00