go back

Nebraska 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
$96.13 / $96.13 / $96.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.11 / $655.96 / $1,473.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.13 / $96.13 / $232.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$327.98 / $344.97 / $362.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.93 / $243.98 / $637.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.33 / $627.33 / $627.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $554.54 / $739.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.43 / $157.55 / $210.06
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.49 / $397.00 / $530.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.97 / $842.52 / $1,004.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$192.61 / $239.36 / $324.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$485.36 / $596.51 / $708.01
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
$446.07 / $743.45 / $2,698.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.57 / $229.28 / $770.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.50 / $514.16 / $1,927.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.88 / $768.06 / $1,004.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $310.80 / $1,005.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.59 / $770.01 / $878.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.57 / $237.47 / $292.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.93 / $532.54 / $630.20