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Arizona rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.81 / $409.59 / $3,787.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00