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Nationwide rates for HCPCS Q2004

Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $169.82 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $128.82 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $54.95 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $22.91 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $120.23