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Vermont rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $107.15 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $295.12 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $138.04 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $288.40 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $125.89 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $354.81 / $851.14