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Louisiana rates for HCPCS 51728

Complex Cystometrogram Voiding Pressure Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.39 / $147.19 / $164.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.49 / $520.12 / $575.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.87 / $161.16 / $183.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.43 / $355.93 / $410.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.68 / $486.61 / $572.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.19 / $145.60 / $190.62
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.18 / $334.33 / $401.19
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.30 / $139.30 / $139.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.97 / $447.46 / $556.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.06 / $137.82 / $184.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.88 / $309.67 / $419.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.08 / $423.55 / $677.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.66 / $144.44 / $279.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.44 / $285.27 / $456.12