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Utah rates for HCPCS 51720

Bladder Instillation Anticarcinogenic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $627.16 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $109.23 / $306.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $119.16 / $163.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $89.98 / $112.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.04 / $1,295.21 / $1,887.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $151.25 / $229.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.54 / $115.60 / $170.10