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Utah rates for HCPCS 51705

Change Cystostomy Tube Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.10 / $2,164.00 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $132.85 / $218.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.68 / $113.28 / $179.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $85.61 / $111.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.48 / $484.37 / $682.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $118.80 / $188.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.43 / $113.56 / $200.97