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North Dakota rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.26 / $76.26 / $76.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.19 / $236.09 / $719.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.32 / $480.38 / $566.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.22 / $505.65 / $652.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $377.30 / $564.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.38 / $394.77 / $564.09