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West Virginia rates for HCPCS 51725

Simple cystometrogram (CMG) (eg, spinal manometer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.41 / $71.41 / $71.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.33 / $236.09 / $473.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.97 / $85.97 / $85.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.12 / $86.12 / $86.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.13 / $329.18 / $1,636.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.37 / $291.08 / $426.13