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Texas rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,511.00 / $11,139.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.83 / $2,834.48 / $5,863.83
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.60 / $2,404.39 / $7,063.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.89 / $1,490.62 / $1,490.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.85 / $1,377.85 / $1,377.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,444.45 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.74 / $381.52 / $809.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.22 / $385.15 / $809.37
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$109.85 / $109.85 / $109.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00