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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
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.57 / $103.22 / $171.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.94 / $101.19 / $101.19