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Wyoming rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.38 / $314.38 / $314.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.01 / $84.01 / $84.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.37 / $230.37 / $230.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.00 / $708.00 / $886.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.00 / $194.00 / $244.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$428.00 / $514.00 / $642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.98 / $513.32 / $605.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.87 / $139.75 / $199.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.11 / $373.57 / $406.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.30 / $752.82 / $1,136.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.30 / $216.63 / $335.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$341.00 / $627.96 / $805.99