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Michigan rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $607.23 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $96.50 / $132.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.33 / $362.24 / $493.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $54.35 / $105.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.87 / $128.87 / $128.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $92.86 / $160.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.31 / $1,246.10 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $97.36 / $152.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $102.47 / $146.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,428.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.14 / $134.86 / $167.93