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Utah rates for HCPCS 51725

Simple Cystometrogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.02 / $107.02 / $107.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.61 / $283.50 / $519.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.34 / $314.44 / $483.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $117.48 / $226.42
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$484.37 / $484.37 / $484.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.20 / $362.27 / $393.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $217.98 / $434.88