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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
$138.04 / $1,258.93 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $95.50 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $457.09 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $154.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $89.13 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $91.20 / $165.96