go back

South Carolina rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.28 / $258.39 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $98.03 / $175.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.13 / $123.13 / $123.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.88 / $780.87 / $1,287.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.39 / $124.36 / $211.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.46 / $88.85 / $560.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $122.24 / $216.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $127.31 / $207.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.39 / $183.00 / $206.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.11 / $112.28 / $174.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,138.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.43 / $110.57 / $227.21