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New Hampshire rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $303.29 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $97.85 / $270.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.29 / $106.91 / $188.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.94 / $145.05 / $297.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $159.31 / $334.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $192.15 / $384.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.85 / $77.22 / $121.15