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Tennessee 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
$101.25 / $195.94 / $287.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.81 / $453.41 / $1,445.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.53 / $129.04 / $418.82
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
$206.93 / $283.88 / $446.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.54 / $111.54 / $111.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.98 / $394.07 / $738.43
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.20 / $134.61 / $231.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.43 / $267.98 / $526.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.90 / $467.25 / $693.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.89 / $150.77 / $230.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.59 / $311.80 / $467.10
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$240.28 / $498.13 / $498.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.00 / $2,698.08 / $2,846.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$752.32 / $770.56 / $835.28
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,747.81 / $1,927.52 / $2,010.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.20 / $459.62 / $747.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.09 / $144.12 / $234.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.04 / $314.89 / $548.01