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California 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
$112.20 / $114.82 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $123.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $269.15 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $173.78 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $338.84 / $776.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $1,000.00
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $154.88 / $309.03
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $295.12 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $316.23 / $691.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $524.81
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $117.49 / $144.54
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $199.53 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $151.36 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $371.54 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$645.65 / $645.65 / $645.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$758.58 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,698.24 / $1,995.26 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $346.74 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $977.24
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $288.40
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $302.00 / $660.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$346.74 / $346.74 / $346.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$812.83 / $812.83 / $812.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $134.90 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $257.04 / $741.31