go back

Arizona rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.40 / $236.15 / $445.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $171.26 / $214.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.81 / $274.50 / $432.01
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.32 / $339.11 / $339.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.44 / $257.14 / $1,687.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.84 / $233.56 / $438.67