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Arkansas rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.03 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $85.03 / $132.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.53 / $218.53 / $262.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.95 / $76.40 / $129.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.78 / $203.78 / $203.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $115.16 / $178.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.25 / $130.88 / $187.46