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Massachusetts rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.73 / $117.86 / $117.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $319.75 / $491.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.09 / $102.28 / $223.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.28 / $231.34 / $366.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.91 / $204.11 / $270.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.45 / $571.55 / $1,999.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.31 / $168.60 / $684.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.45 / $463.01 / $1,517.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.32 / $560.80 / $1,060.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.76 / $666.99 / $1,208.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.92 / $169.06 / $306.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.19 / $489.41 / $902.44
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $184.60 / $429.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.79 / $672.72 / $864.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.40 / $203.00 / $257.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.39 / $472.58 / $600.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $129.94 / $129.94
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$215.81 / $215.81 / $406.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.48 / $623.60 / $1,999.20
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.18 / $194.43 / $684.00
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.75 / $514.04 / $1,517.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.79 / $565.37 / $1,173.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.07 / $147.28 / $322.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.13 / $406.70 / $850.43