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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
$66.56 / $121.68 / $1,307.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $100.56 / $160.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.29 / $99.96 / $153.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.53 / $119.53 / $188.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $108.50 / $187.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.59 / $121.68 / $1,307.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $97.85 / $160.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.40 / $138.32 / $197.96