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Virginia rates for HCPCS 51705

Change Cystostomy Tube Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.75 / $1,329.08 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $104.56 / $169.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.78 / $88.91 / $133.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $88.78 / $974.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.66 / $104.89 / $179.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $111.47 / $137.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.82 / $105.79 / $186.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $133.83 / $196.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $76.08 / $805.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.76 / $137.26 / $805.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.34 / $135.62 / $212.16