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Montana rates for HCPCS 51705

Change Cystostomy Tube Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.00 / $227.00 / $3,401.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $111.20 / $160.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $80.97 / $154.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.97 / $80.97 / $80.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $86.72 / $154.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $202.15 / $210.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $100.94 / $155.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.91 / $168.02 / $268.24