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Virginia rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.96 / $519.48 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.05 / $94.02 / $159.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.09 / $83.82 / $136.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $49.04 / $95.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $610.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $112.09 / $188.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.25 / $104.01 / $188.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $102.56 / $183.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $140.00 / $205.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.76 / $91.09 / $142.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.10 / $136.88 / $207.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.00 / $696.00 / $2,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $119.07 / $191.58