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Indiana rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Facilitymedian $93 · 10th–90th $93–$1380%20%40%90th$93Professionalmedian $229 · 10th–90th $83–$4270%10%10th90th$229$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $87.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $223.87 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $316.23 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $120.23 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $181.97 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $104.71 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $263.03 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $257.04 / $398.11