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Michigan rates for HCPCS 51725

Simple Cystometrogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.05 / $97.05 / $122.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.61 / $250.10 / $344.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $201.00 / $330.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.81 / $284.13 / $472.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.64 / $76.64 / $122.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.37 / $235.84 / $356.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $145.74 / $272.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.37 / $279.64 / $360.61