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Massachusetts 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
$107.10 / $107.10 / $107.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $567.35 / $1,485.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.87 / $149.29 / $525.53
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$150.02 / $320.01 / $434.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.93 / $252.38 / $446.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$224.71 / $249.40 / $332.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.70 / $684.68 / $2,444.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.91 / $204.81 / $752.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.18 / $489.45 / $1,747.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.52 / $684.99 / $1,294.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.44 / $190.91 / $360.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.65 / $793.39 / $1,462.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.85 / $206.56 / $374.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.67 / $590.37 / $1,088.59
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.48 / $225.24 / $516.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.15 / $824.98 / $1,106.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.34 / $248.47 / $315.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.82 / $576.52 / $731.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $175.71 / $329.75
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$265.11 / $265.11 / $498.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.48 / $694.26 / $2,444.00
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.20 / $212.28 / $752.32
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.85 / $549.29 / $1,747.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.71 / $548.22 / $1,257.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.79 / $164.51 / $376.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.91 / $424.47 / $965.93