go back

Tennessee rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.74 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.82 / $99.91 / $160.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.03 / $103.03 / $103.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $94.71 / $170.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $104.12 / $181.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $257.69 / $257.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $725.28 / $821.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $134.24 / $218.44