go back

Idaho rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.46 / $170.04 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $116.15 / $218.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $98.39 / $164.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $132.85 / $241.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $106.15 / $189.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $134.85 / $169.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $584.88 / $748.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $96.41 / $181.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $134.56 / $200.53