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Indiana rates for HCPCS 51725

Simple Cystometrogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.19 / $71.19 / $115.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.52 / $227.65 / $301.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $123.80 / $217.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.19 / $141.74 / $242.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.81 / $306.66 / $532.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.43 / $277.37 / $442.06