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Florida 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
$85.17 / $90.87 / $95.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.99 / $343.68 / $703.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.87 / $102.50 / $175.19
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$150.02 / $150.02 / $150.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.13 / $229.43 / $363.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $420.56 / $668.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.23 / $143.47 / $222.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.59 / $283.24 / $454.28
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.08 / $237.32 / $417.43
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.14 / $75.15 / $132.19
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.21 / $162.16 / $285.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.91 / $247.10 / $425.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.39 / $383.90 / $673.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.19 / $126.67 / $209.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.31 / $254.01 / $478.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.41 / $259.41 / $259.41
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.13 / $78.13 / $103.41
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.28 / $181.28 / $229.70