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Nebraska rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.05 / $70.05 / $70.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.55 / $212.55 / $448.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.41 / $346.38 / $462.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.47 / $526.26 / $602.83
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$339.11 / $339.11 / $339.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.57 / $458.23 / $1,687.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.34 / $458.23 / $611.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $285.89 / $622.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.55 / $465.33 / $549.02