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Virginia 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
$109.65 / $120.23 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $120.23 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $275.42 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $131.83 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $331.13 / $478.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $457.09 / $1,047.13
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $131.83 / $162.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $323.59 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $138.04 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $288.40 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $125.89 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $275.42 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $891.25
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $190.55 / $239.88
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $354.81 / $1,737.80
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $141.25 / $234.42
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $288.40 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $138.04 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $281.84 / $489.78