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Maryland rates for HCPCS 51710

Change of cystostomy tube; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.34 / $1,385.34 / $1,385.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.47 / $151.37 / $417.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $88.41 / $104.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.15 / $333.15 / $333.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.82 / $146.12 / $309.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $186.51 / $313.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.38 / $172.39 / $275.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.05 / $161.26 / $199.55