go back

Iowa rates for HCPCS 51728

Complex Cystometrogram Voiding Pressure Studies

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.81 / $534.52 / $1,530.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.56 / $143.57 / $506.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$186.01 / $312.85 / $342.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.43 / $254.34 / $580.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.44 / $824.41 / $995.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.71 / $270.16 / $287.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$516.74 / $599.61 / $708.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.85 / $463.14 / $978.00
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.41 / $148.52 / $249.52
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.44 / $314.63 / $572.91
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$463.23 / $463.23 / $463.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.64 / $792.54 / $1,174.80
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.36 / $248.78 / $770.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.94 / $531.41 / $1,927.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.88 / $739.44 / $997.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $591.50 / $1,005.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.02 / $766.10 / $1,077.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.36 / $211.77 / $334.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.80 / $469.95 / $742.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.00 / $652.00 / $767.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$196.40 / $196.40 / $231.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.60 / $455.60 / $536.00