go back

Wisconsin rates for HCPCS 51710

Change of cystostomy tube; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $279.72 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $138.13 / $292.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $278.37 / $733.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.15 / $424.37 / $684.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.33 / $283.18 / $488.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $139.79 / $279.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.35 / $219.80 / $3,995.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $363.53 / $863.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $148.14 / $298.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $139.79 / $279.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.05 / $309.89 / $480.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.80 / $466.80 / $466.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $385.90 / $1,832.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.23 / $471.18 / $813.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.00 / $3,068.00 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.06 / $367.52 / $639.83