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Arizona rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $2,222.50 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $100.91 / $261.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $60.54 / $90.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.81 / $113.81 / $113.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.48 / $98.26 / $175.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $100.91 / $1,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.72 / $130.79 / $725.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.01 / $112.47 / $191.40