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Pennsylvania rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Facilitymedian $79 · 10th–90th $79–$790%50%$79Professionalmedian $282 · 10th–90th $204–$6030%20%10th90th$282$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $645.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $275.42 / $338.84
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $436.52
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $302.00 / $416.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $75.86 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $407.38