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New York rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.35 / $93.05 / $134.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.74 / $267.85 / $481.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $193.48 / $518.09
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.39 / $214.65 / $322.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.12 / $86.12 / $86.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.38 / $396.97 / $930.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.91 / $287.50 / $412.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.05 / $250.35 / $410.17
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.12 / $86.12 / $86.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.38 / $355.30 / $814.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.28 / $267.12 / $707.01
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.43 / $97.43 / $275.41
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.47 / $292.98 / $478.54