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New Hampshire rates for HCPCS 51728

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

Facilitymedian $148 · 10th–90th $148$1480%50%$148Professionalmedian $339 · 10th–90th $126$7760%5%10th90th$339$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $125.89 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $288.40 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $691.83 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $194.98 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $478.63 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $177.83 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $407.38 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $190.55 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $426.58 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $660.69 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $426.58 / $812.83
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18