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Massachusetts rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.44 / $78.44 / $78.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.69 / $244.72 / $532.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.28 / $183.44 / $244.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.83 / $454.96 / $1,690.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.91 / $415.67 / $785.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.20 / $502.22 / $911.81
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.12 / $136.56 / $319.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.36 / $504.24 / $640.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.38 / $228.34 / $366.98
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.32 / $192.32 / $363.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.22 / $477.89 / $1,690.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.08 / $403.10 / $805.83