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Idaho rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.47 / $317.13 / $519.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.62 / $355.44 / $428.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.44 / $351.52 / $418.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $132.54 / $322.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$516.30 / $516.30 / $516.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.35 / $349.35 / $425.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.40 / $274.74 / $446.96