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Michigan 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
$134.90 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $120.23 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $269.15 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $141.25 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $288.40 / $537.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $275.42 / $323.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $549.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $128.82 / $177.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $257.04 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $575.44
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $147.91 / $239.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $288.40 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $251.19 / $389.05