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Georgia 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
$105.45 / $105.45 / $185.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.28 / $543.08 / $897.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.56 / $121.62 / $226.21
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$150.02 / $344.97 / $397.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.00 / $296.79 / $548.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.60 / $556.50 / $580.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$168.00 / $168.00 / $168.00
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$152.57 / $152.57 / $152.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.00 / $318.00 / $318.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.07 / $475.18 / $938.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.59 / $158.09 / $278.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.65 / $341.38 / $674.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $272.08 / $459.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.71 / $572.91 / $861.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.83 / $177.74 / $275.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.35 / $383.65 / $600.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.71 / $427.32 / $909.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.65 / $129.55 / $336.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$236.07 / $236.07 / $236.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.06 / $297.77 / $572.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.42 / $344.55 / $545.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.52 / $453.96 / $772.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.55 / $155.72 / $267.37
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.56 / $301.11 / $527.71