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Colorado rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.84 / $75.84 / $75.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $236.09 / $344.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.52 / $348.40 / $480.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.30 / $322.89 / $423.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $328.64 / $411.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.16 / $112.31 / $144.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.68 / $348.77 / $729.85