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Alaska rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.88 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $137.59 / $425.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.79 / $177.79 / $299.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $336.77 / $595.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.95 / $329.70 / $628.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.90 / $334.50 / $536.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $336.77 / $595.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.63 / $298.00 / $574.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.07 / $249.16 / $534.92