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Texas rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.53 / $1,859.00 / $6,021.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $95.17 / $135.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.79 / $80.79 / $80.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.37 / $88.65 / $341.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $85.45 / $149.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.85 / $267.95 / $534.24
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $123.57 / $182.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.24 / $193.28 / $193.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.68 / $88.68 / $88.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.08 / $106.71 / $187.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $257.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $725.28 / $821.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.20 / $104.69 / $203.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.01 / $104.26 / $165.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $164.90 / $164.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.20 / $104.69 / $208.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $110.12 / $192.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $107.58 / $175.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.89 / $91.12 / $128.32