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Virginia rates for HCPCS 51725

Simple Cystometrogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.95 / $86.04 / $205.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.82 / $258.82 / $442.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.45 / $268.42 / $368.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.27 / $431.71 / $974.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.13 / $308.48 / $530.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $236.64 / $291.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.98 / $85.19 / $105.07
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.99 / $127.54 / $156.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $213.73 / $371.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.28 / $251.21 / $561.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.63 / $305.87 / $460.28