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Maine rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $194.98 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $109.65 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $102.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $117.49 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $125.89 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $123.03 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $123.03 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $112.20 / $194.98