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Tennessee rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.83 / $102.06 / $209.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.41 / $243.99 / $361.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.86 / $246.11 / $452.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.83 / $293.92 / $487.74
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$174.23 / $363.28 / $363.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.36 / $1,690.06 / $1,741.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.04 / $305.43 / $483.33