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Louisiana rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.87 / $1,142.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.37 / $105.54 / $150.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.76 / $458.74 / $681.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $100.36 / $156.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.28 / $193.28 / $193.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $104.82 / $150.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.13 / $130.16 / $207.08