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Massachusetts rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.61 / $1,823.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.65 / $110.54 / $350.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.13 / $502.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.43 / $154.82 / $728.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $78.56 / $152.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.78 / $131.50 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $159.69 / $309.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.37 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.83 / $119.07 / $181.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $142.44 / $266.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.67 / $296.67 / $621.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.26 / $255.28 / $728.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.66 / $182.59 / $356.48