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West Virginia rates for HCPCS 51720

Bladder instillation of anticarcinogenic agent (including retention time)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.96 / $813.40 / $1,011.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $86.20 / $124.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.24 / $49.84 / $63.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.16 / $120.24 / $189.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $96.19 / $235.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.12 / $1,224.35 / $3,618.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $128.26 / $217.04