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Pennsylvania rates for HCPCS 51729

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $2,240.00 / $7,197.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.88 / $132.88 / $184.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.43 / $385.34 / $628.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.41 / $132.90 / $284.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.37 / $243.67 / $406.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.14 / $647.14 / $647.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.26 / $361.40 / $627.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.82 / $200.05 / $249.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.44 / $348.59 / $408.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.83 / $449.59 / $709.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.53 / $167.93 / $260.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.90 / $284.57 / $476.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.67 / $560.33 / $576.72
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.77 / $189.91 / $190.49
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.89 / $370.41 / $386.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.76 / $2,697.38 / $9,102.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.04 / $2,326.00 / $7,799.00
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.88 / $177.80 / $184.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.43 / $496.11 / $930.17
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.99 / $176.02 / $298.45
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.11 / $290.89 / $597.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $387.00 / $1,058.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.83 / $452.10 / $741.70
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.96 / $172.17 / $288.61
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.90 / $299.91 / $480.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.89 / $371.56 / $371.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.67 / $122.13 / $122.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.89 / $371.56 / $401.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.67 / $122.13 / $127.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.22 / $249.44 / $274.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.11 / $459.97 / $724.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.01 / $156.44 / $256.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.53 / $281.27 / $474.37