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Maine 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
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $128.82 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $288.40 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $512.86 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $158.49 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $354.81 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $154.88 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $371.54 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $158.49 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $331.13 / $537.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $134.90 / $204.17
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $309.03 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $831.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $151.36 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $302.00 / $537.03