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Utah 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
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $128.82 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $257.04 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $147.91 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $281.84 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $204.17 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $380.19 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $691.83
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $190.55 / $223.87
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $416.87 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $128.82 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $251.19 / $436.52