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Missouri rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.59 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.12 / $89.04 / $249.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $100.60 / $173.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.48 / $110.75 / $208.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $120.71 / $755.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.31 / $194.18 / $725.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.80 / $149.32 / $242.83