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Arkansas rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.95 / $103.81 / $114.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $242.07 / $274.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.93 / $263.30 / $263.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $315.13 / $422.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.60 / $246.96 / $414.88