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Wyoming 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
Professional
Modifier
Low / Median / High Price
$339.81 / $339.81 / $339.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.47 / $110.37 / $110.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.43 / $229.43 / $229.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.00 / $858.00 / $1,072.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$200.00 / $240.00 / $300.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$515.00 / $618.00 / $772.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.33 / $621.17 / $723.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.16 / $171.79 / $244.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.63 / $449.72 / $478.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.10 / $882.20 / $1,219.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$163.35 / $326.97 / $405.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.75 / $486.19 / $814.43