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Kansas rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.92 / $103.92 / $121.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.47 / $259.48 / $364.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.60 / $304.24 / $304.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.05 / $326.73 / $644.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.32 / $192.32 / $192.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $310.36 / $1,687.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.44 / $272.14 / $445.55