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Tennessee rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.70 / $452.00 / $4,069.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.62 / $90.12 / $182.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $81.88 / $118.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $107.87 / $182.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $105.38 / $189.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.68 / $219.34 / $219.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.00 / $1,797.00 / $1,797.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.72 / $123.14 / $199.81