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West Virginia rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.38 / $545.30 / $545.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $87.58 / $115.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.38 / $61.49 / $66.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.54 / $59.54 / $59.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $88.80 / $88.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.55 / $118.23 / $246.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.13 / $391.17 / $1,022.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.01 / $119.98 / $206.63