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Washington, DC rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.95 / $79.95 / $79.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.52 / $260.52 / $625.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $299.80 / $1,643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.55 / $311.33 / $843.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.07 / $536.79 / $536.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.67 / $166.62 / $166.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.66 / $415.03 / $621.96