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Alabama rates for HCPCS Q2004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.80 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $102.33 / $102.33