go back

Oregon rates for HCPCS 51728

Complex Cystometrogram Voiding Pressure Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.90 / $227.63 / $270.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.81 / $495.09 / $1,569.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.56 / $135.03 / $418.82
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$170.00 / $283.67 / $326.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.93 / $313.64 / $657.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.37 / $847.19 / $1,072.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.88 / $232.04 / $335.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.48 / $605.46 / $772.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.78 / $794.36 / $918.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.17 / $232.02 / $261.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.10 / $559.49 / $656.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.60 / $575.12 / $1,077.94
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$163.32 / $232.60 / $324.64
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$378.94 / $539.70 / $753.28
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$146.32 / $199.99 / $204.68
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.18 / $317.18 / $352.43
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.40 / $189.99 / $217.44
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.42 / $370.95 / $526.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.33 / $867.35 / $1,072.86
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$159.22 / $232.04 / $299.93
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.92 / $605.46 / $772.94
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,906.19 / $1,906.19 / $1,906.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.85 / $895.17 / $1,144.46
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.97 / $250.25 / $319.95
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$485.88 / $644.91 / $824.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.01 / $674.12 / $1,163.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$160.06 / $219.00 / $323.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$362.97 / $515.48 / $832.66