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Idaho 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
Professional
Modifier
Low / Median / High Price
$339.81 / $521.32 / $834.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.87 / $131.32 / $238.16
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
$229.43 / $390.00 / $596.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.62 / $579.84 / $699.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.65 / $173.49 / $201.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$340.19 / $389.56 / $497.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.26 / $575.12 / $657.28
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$163.32 / $163.32 / $197.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$378.94 / $378.94 / $459.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $322.77 / $528.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,115.05 / $1,115.05 / $1,115.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.04 / $558.04 / $679.92
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.01 / $156.01 / $196.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$402.04 / $402.04 / $483.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.82 / $450.01 / $726.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.99 / $159.41 / $223.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.82 / $296.13 / $475.09