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South Carolina rates for HCPCS 51728

Complex Cystometrogram Voiding Pressure Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.90 / $126.90 / $290.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.81 / $437.91 / $1,344.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.53 / $126.90 / $512.25
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$186.01 / $297.13 / $326.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.43 / $311.01 / $446.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.26 / $441.26 / $441.26
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$77.87 / $77.87 / $77.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.00 / $309.47 / $545.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.75 / $188.50 / $313.67
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.50 / $209.62 / $339.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.90 / $425.02 / $917.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.94 / $149.79 / $270.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.01 / $278.52 / $651.91
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.27 / $140.27 / $196.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $257.80 / $438.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.11 / $255.36 / $452.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.77 / $448.65 / $933.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.05 / $158.18 / $264.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.53 / $256.08 / $565.35