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California rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,495.41 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $120.23 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $275.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $309.03 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $144.54 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $223.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $107.15 / $190.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $134.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $107.15 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $239.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $316.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $83.18 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $95.50 / $204.17