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Vermont rates for HCPCS 51728

Complex Cystometrogram Voiding Pressure Studies

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.81 / $438.91 / $1,582.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.94 / $140.04 / $551.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.93 / $263.01 / $1,350.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.32 / $573.03 / $1,344.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.58 / $169.92 / $366.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.51 / $363.85 / $565.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.40 / $573.03 / $1,344.07
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.65 / $172.27 / $366.63
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.76 / $391.84 / $565.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.55 / $504.14 / $1,649.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.21 / $153.01 / $450.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.64 / $355.05 / $1,199.70