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New York rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $1,499.00 / $6,962.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $100.91 / $185.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $149.44 / $160.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.00 / $3,280.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.01 / $87.65 / $208.40
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.58 / $61.58 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.58 / $61.58 / $125.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $123.37 / $281.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $67.34 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $134.68 / $172.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.55 / $82.55 / $82.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.86 / $129.61 / $186.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $929.82 / $2,148.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $121.65 / $282.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $2,739.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $103.07 / $229.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $55.93 / $362.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.55 / $119.39 / $178.47