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Delaware rates for HCPCS 51728

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.06 / $104.93 / $269.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.81 / $348.09 / $389.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $104.94 / $105.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.93 / $245.59 / $285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.35 / $386.08 / $675.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.12 / $131.58 / $181.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.57 / $260.87 / $484.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.74 / $398.26 / $794.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.51 / $121.87 / $238.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.84 / $244.34 / $556.32