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Louisiana rates for HCPCS 51725

Simple Cystometrogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.98 / $106.18 / $118.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.47 / $308.33 / $342.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.99 / $300.89 / $359.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.04 / $280.55 / $393.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.28 / $291.08 / $456.14