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Alaska rates for HCPCS 51727

Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $134.90 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $309.03 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$323.59 / $323.59 / $371.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$524.81 / $524.81 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $338.84 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$562.34 / $724.44 / $1,513.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$426.58 / $426.58 / $660.69
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$954.99 / $1,071.52 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $144.54 / $371.54
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $302.00 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $851.14 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$158.49 / $302.00 / $691.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $549.54 / $1,071.52