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Texas rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.36 / $79.43 / $113.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $241.68 / $361.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.04 / $235.04 / $235.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $179.48 / $333.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.20 / $284.13 / $455.86
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$174.23 / $339.11 / $363.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.36 / $1,690.06 / $1,741.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.45 / $301.31 / $361.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.60 / $325.60 / $325.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.38 / $288.75 / $487.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.49 / $230.40 / $374.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.44 / $192.45 / $272.32