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Missouri rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.64 / $86.59 / $90.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.99 / $259.48 / $794.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.17 / $256.75 / $425.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.05 / $338.68 / $764.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.32 / $339.11 / $339.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.62 / $375.75 / $1,687.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.60 / $293.19 / $511.01