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Wisconsin rates for HCPCS 51705

Change Cystostomy Tube Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $201.42 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.93 / $99.91 / $273.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $191.19 / $486.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.32 / $305.38 / $492.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $182.56 / $350.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.42 / $98.47 / $192.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $141.97 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.38 / $300.77 / $611.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $117.98 / $250.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.53 / $96.89 / $192.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $211.00 / $346.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.65 / $237.65 / $237.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.76 / $415.49 / $725.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.41 / $303.81 / $583.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.99 / $277.20 / $459.03