Reimbursements (Old) - Gemini Med Tech

Reimbursement Information

The following Medicare reimbursement data is for reference purposes only and is based on the Medicare Physician Fee Schedule as of September 21, 2021. Gemini Medical Technologies assumes no responsibility for its accuracy.

This information is not specific to your MAC Locality or 3rd Party Insurer Fee Schedule. Actual Payment may vary. Review all billing and coding with medical billing professionals.

Reimbursement by Location

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Mac Locality 0111205 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$779.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728		Cystometrogram w/vp	$483.46	100%	$483.46
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797		Intraabdominal pressure test	$247.12	100%	$247.12

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$804.40
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$508.58	100%	$508.58
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797	-	Intraabdominal pressure test	$247.12	100%	$247.12

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111206 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$779.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$483.46	100%	$483.46
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797	-	Intraabdominal pressure test	$247.12	100%	$247.12

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$804.40
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$508.58	100%	$508.58
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797	-	Intraabdominal pressure test	$247.12	100%	$247.12

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111207 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$779.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$483.46	100%	$483.46
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797	-	Intraabdominal pressure test	$247.12	100%	$247.12

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$804.40
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$508.58	100%	$508.58
51741	-51	Electro-uroflowmetry first	$16.61	50%	$8.31
51784	-51	Anal/urinary muscle study	$80.78	50%	$40.39
51797	-	Intraabdominal pressure test	$247.12	100%	$247.12

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111209 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$807.37
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$500.86	100%	$500.86
51741	-51	Electro-uroflowmetry first	$17.07	50%	$8.54
51784	-51	Anal/urinary muscle study	$83.26	50%	$41.63
51797	-	Intraabdominal pressure test	$256.34	100%	$256.34

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$832.99
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$526.48	100%	$526.48
51741	-51	Electro-uroflowmetry first	$17.07	50%	$8.54
51784	-51	Anal/urinary muscle study	$83.26	50%	$41.63
51797	-	Intraabdominal pressure test	$256.34	100%	$256.34

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111251 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$722.74
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$448.43	100%	$448.43
51741	-51	Electro-uroflowmetry first	$15.66	50%	$7.83
51784	-51	Anal/urinary muscle study	$75.81	50%	$37.91
51797	-	Intraabdominal pressure test	$228.57	100%	$228.57

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$746.81
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$472.50	100%	$472.50
51741	-51	Electro-uroflowmetry first	$15.66	50%	$7.83
51784	-51	Anal/urinary muscle study	$75.81	50%	$37.91
51797	-	Intraabdominal pressure test	$228.57	100%	$228.57

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111252 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$770.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$477.89	100%	$477.89
51741	-51	Electro-uroflowmetry first	$16.49	50%	$8.25
51784	-51	Anal/urinary muscle study	$80.04	50%	$40.02
51797	-	Intraabdominal pressure test	$244.12	100%	$244.12

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$795.32
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$502.93	100%	$502.93
51741	-51	Electro-uroflowmetry first	$16.49	50%	$8.25
51784	-51	Anal/urinary muscle study	$80.04	50%	$40.02
51797	-	Intraabdominal pressure test	$244.12	100%	$244.12

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111253 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$722.74
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$448.43	100%	$448.43
51741	-51	Electro-uroflowmetry first	$15.66	50%	$7.83
51784	-51	Anal/urinary muscle study	$75.81	50%	$37.91
51797	-	Intraabdominal pressure test	$228.57	100%	$228.57

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$746.81
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$472.50	100%	$472.50
51741	-51	Electro-uroflowmetry first	$15.66	50%	$7.83
51784	-51	Anal/urinary muscle study	$75.81	50%	$37.91
51797	-	Intraabdominal pressure test	$228.57	100%	$228.57

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111254 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$648.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$402.31	100%	$402.31
51741	-51	Electro-uroflowmetry first	$14.68	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.05	50%	$35.03
51797	-	Intraabdominal pressure test	$203.54	100%	$203.54

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$671.69
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$425.78	100%	$425.78
51741	-51	Electro-uroflowmetry first	$14.68	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.05	50%	$35.03
51797	-	Intraabdominal pressure test	$203.54	100%	$203.54

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111255 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111256 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111257 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111258 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111259 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111260 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111261 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111262 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$649.29
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$403.00	100%	$403.00
51741	-51	Electro-uroflowmetry first	$14.83	50%	$7.42
51784	-51	Anal/urinary muscle study	$70.31	50%	$35.16
51797	-	Intraabdominal pressure test	$203.72	100%	$203.72

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$673.18
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$426.89	100%	$426.89
51741	-51	Electro-uroflowmetry first	$14.83	50%	$7.42
51784	-51	Anal/urinary muscle study	$70.31	50%	$35.16
51797	-	Intraabdominal pressure test	$203.72	100%	$203.72

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111263 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$654.04
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$405.90	100%	$405.90
51741	-51	Electro-uroflowmetry first	$14.68	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.36	50%	$35.18
51797	-	Intraabdominal pressure test	$205.62	100%	$205.62

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$677.32
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$429.18	100%	$429.18
51741	-51	Electro-uroflowmetry first	$14.68	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.36	50%	$35.18
51797	-	Intraabdominal pressure test	$205.62	100%	$205.62

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111264 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$677.58
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$420.50	100%	$420.50
51741	-51	Electro-uroflowmetry first	$15.12	50%	$7.56
51784	-51	Anal/urinary muscle study	$72.60	50%	$36.30
51797	-	Intraabdominal pressure test	$213.22	100%	$213.22

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$701.45
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$444.37	100%	$444.37
51741	-51	Electro-uroflowmetry first	$15.12	50%	$7.56
51784	-51	Anal/urinary muscle study	$72.60	50%	$36.30
51797	-	Intraabdominal pressure test	$213.22	100%	$213.22

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111265 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$782.03
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$485.19	100%	$485.19
51741	-51	Electro-uroflowmetry first	$16.80	50%	$8.40
51784	-51	Anal/urinary muscle study	$81.34	50%	$40.67
51797	-	Intraabdominal pressure test	$247.77	100%	$247.77

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$807.65
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$510.81	100%	$510.81
51741	-51	Electro-uroflowmetry first	$16.80	50%	$8.40
51784	-51	Anal/urinary muscle study	$81.34	50%	$40.67
51797	-	Intraabdominal pressure test	$247.77	100%	$247.77

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111266 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$704.47
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$437.13	100%	$437.13
51741	-51	Electro-uroflowmetry first	$15.46	50%	$7.73
51784	-51	Anal/urinary muscle study	$74.47	50%	$37.24
51797	-	Intraabdominal pressure test	$222.37	100%	$222.37

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$728.51
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$461.17	100%	$461.17
51741	-51	Electro-uroflowmetry first	$15.46	50%	$7.73
51784	-51	Anal/urinary muscle study	$74.47	50%	$37.24
51797	-	Intraabdominal pressure test	$222.37	100%	$222.37

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111267 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$693.74
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$430.49	100%	$430.49
51741	-51	Electro-uroflowmetry first	$15.30	50%	$7.65
51784	-51	Anal/urinary muscle study	$73.62	50%	$36.81
51797	-	Intraabdominal pressure test	$218.79	100%	$218.79

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$717.63
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$454.38	100%	$454.38
51741	-51	Electro-uroflowmetry first	$15.30	50%	$7.65
51784	-51	Anal/urinary muscle study	$73.62	50%	$36.81
51797	-	Intraabdominal pressure test	$218.79	100%	$218.79

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111268 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111269 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111270 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0111275 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.15
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.01	100%	$401.01
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.08	100%	$424.08
51741	-51	Electro-uroflowmetry first	$14.52	50%	$7.26
51784	-51	Anal/urinary muscle study	$69.58	50%	$34.79
51797	-	Intraabdominal pressure test	$203.09	100%	$203.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118217 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$703.08
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$436.28	100%	$436.28
51741	-51	Electro-uroflowmetry first	$15.49	50%	$7.75
51784	-51	Anal/urinary muscle study	$74.31	50%	$37.16
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$727.26
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$460.46	100%	$460.46
51741	-51	Electro-uroflowmetry first	$15.49	50%	$7.75
51784	-51	Anal/urinary muscle study	$74.31	50%	$37.16
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118218 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$703.92
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$436.82	100%	$436.82
51741	-51	Electro-uroflowmetry first	$15.62	50%	$7.81
51784	-51	Anal/urinary muscle study	$74.78	50%	$37.39
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$728.45
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$461.35	100%	$461.35
51741	-51	Electro-uroflowmetry first	$15.62	50%	$7.81
51784	-51	Anal/urinary muscle study	$74.78	50%	$37.39
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118226 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$703.92
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$436.82	100%	$436.82
51741	-51	Electro-uroflowmetry first	$15.62	50%	$7.81
51784	-51	Anal/urinary muscle study	$74.78	50%	$37.39
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$728.45
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$461.35	100%	$461.35
51741	-51	Electro-uroflowmetry first	$15.62	50%	$7.81
51784	-51	Anal/urinary muscle study	$74.78	50%	$37.39
51797	-	Intraabdominal pressure test	$221.90	100%	$221.90

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118271 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$646.36
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.14	100%	$401.14
51741	-51	Electro-uroflowmetry first	$14.54	50%	$7.27
51784	-51	Anal/urinary muscle study	$69.63	50%	$34.82
51797	-	Intraabdominal pressure test	$203.13	100%	$203.13

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$669.47
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$424.25	100%	$424.25
51741	-51	Electro-uroflowmetry first	$14.54	50%	$7.27
51784	-51	Anal/urinary muscle study	$69.63	50%	$34.82
51797	-	Intraabdominal pressure test	$203.13	100%	$203.13

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118272 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$686.30
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$425.88	100%	$425.88
51741	-51	Electro-uroflowmetry first	$15.17	50%	$7.59
51784	-51	Anal/urinary muscle study	$72.94	50%	$36.47
51797	-	Intraabdominal pressure test	$216.36	100%	$216.36

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$710.05
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$449.63	100%	$449.63
51741	-51	Electro-uroflowmetry first	$15.17	50%	$7.59
51784	-51	Anal/urinary muscle study	$72.94	50%	$36.47
51797	-	Intraabdominal pressure test	$216.36	100%	$216.36

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118273 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$655.91
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$407.05	100%	$407.05
51741	-51	Electro-uroflowmetry first	$14.67	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.36	50%	$35.18
51797	-	Intraabdominal pressure test	$206.34	100%	$206.34

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$679.10
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$430.24	100%	$430.24
51741	-51	Electro-uroflowmetry first	$14.67	50%	$7.34
51784	-51	Anal/urinary muscle study	$70.36	50%	$35.18
51797	-	Intraabdominal pressure test	$206.34	100%	$206.34

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0118274 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$692.30
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$429.59	100%	$429.59
51741	-51	Electro-uroflowmetry first	$15.26	50%	$7.63
51784	-51	Anal/urinary muscle study	$73.44	50%	$36.72
51797	-	Intraabdominal pressure test	$218.36	100%	$218.36

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$716.13
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$453.42	100%	$453.42
51741	-51	Electro-uroflowmetry first	$15.26	50%	$7.63
51784	-51	Anal/urinary muscle study	$73.44	50%	$36.72
51797	-	Intraabdominal pressure test	$218.36	100%	$218.36

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0121201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$682.99
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$423.82	100%	$423.82
51741	-51	Electro-uroflowmetry first	$15.07	50%	$7.54
51784	-51	Anal/urinary muscle study	$72.35	50%	$36.18
51797	-	Intraabdominal pressure test	$215.46	100%	$215.46

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$706.55
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$447.38	100%	$447.38
51741	-51	Electro-uroflowmetry first	$15.07	50%	$7.54
51784	-51	Anal/urinary muscle study	$72.35	50%	$36.18
51797	-	Intraabdominal pressure test	$215.46	100%	$215.46

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0131200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$619.78
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$384.78	100%	$384.78
51741	-51	Electro-uroflowmetry first	$14.70	50%	$7.35
51784	-51	Anal/urinary muscle study	$68.33	50%	$34.17
51797	-	Intraabdominal pressure test	$193.48	100%	$193.48

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$644.20
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$409.20	100%	$409.20
51741	-51	Electro-uroflowmetry first	$14.70	50%	$7.35
51784	-51	Anal/urinary muscle study	$68.33	50%	$34.17
51797	-	Intraabdominal pressure test	$193.48	100%	$193.48

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0210201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$727.80
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$451.95	100%	$451.95
51741	-51	Electro-uroflowmetry first	$17.73	50%	$8.87
51784	-51	Anal/urinary muscle study	$84.06	50%	$42.03
51797	-	Intraabdominal pressure test	$224.95	100%	$224.95

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$757.86
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$482.01	100%	$482.01
51741	-51	Electro-uroflowmetry first	$17.73	50%	$8.87
51784	-51	Anal/urinary muscle study	$84.06	50%	$42.03
51797	-	Intraabdominal pressure test	$224.95	100%	$224.95

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0220200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$549.44
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$341.08	100%	$341.08
51741	-51	Electro-uroflowmetry first	$12.79	50%	$6.40
51784	-51	Anal/urinary muscle study	$61.15	50%	$30.58
51797	-	Intraabdominal pressure test	$171.39	100%	$171.39

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$570.38
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$362.02	100%	$362.02
51741	-51	Electro-uroflowmetry first	$12.79	50%	$6.40
51784	-51	Anal/urinary muscle study	$61.15	50%	$30.58
51797	-	Intraabdominal pressure test	$171.39	100%	$171.39

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0230201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$643.94
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$399.63	100%	$399.63
51741	-51	Electro-uroflowmetry first	$14.41	50%	$7.21
51784	-51	Anal/urinary muscle study	$69.22	50%	$34.61
51797	-	Intraabdominal pressure test	$202.49	100%	$202.49

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$666.75
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$422.44	100%	$422.44
51741	-51	Electro-uroflowmetry first	$14.41	50%	$7.21
51784	-51	Anal/urinary muscle study	$69.22	50%	$34.61
51797	-	Intraabdominal pressure test	$202.49	100%	$202.49

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0230299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$584.82
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$363.00	100%	$363.00
51741	-51	Electro-uroflowmetry first	$13.43	50%	$6.72
51784	-51	Anal/urinary muscle study	$64.16	50%	$32.08
51797	-	Intraabdominal pressure test	$183.02	100%	$183.02

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$606.55
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$384.73	100%	$384.73
51741	-51	Electro-uroflowmetry first	$13.43	50%	$6.72
51784	-51	Anal/urinary muscle study	$64.16	50%	$32.08
51797	-	Intraabdominal pressure test	$183.02	100%	$183.02

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0240202 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$711.97
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$441.80	100%	$441.80
51741	-51	Electro-uroflowmetry first	$15.71	50%	$7.86
51784	-51	Anal/urinary muscle study	$75.25	50%	$37.63
51797	-	Intraabdominal pressure test	$224.69	100%	$224.69

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$736.51
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$466.34	100%	$466.34
51741	-51	Electro-uroflowmetry first	$15.71	50%	$7.86
51784	-51	Anal/urinary muscle study	$75.25	50%	$37.63
51797	-	Intraabdominal pressure test	$224.69	100%	$224.69

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0240299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$619.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$384.61	100%	$384.61
51741	-51	Electro-uroflowmetry first	$14.14	50%	$7.07
51784	-51	Anal/urinary muscle study	$67.26	50%	$33.63
51797	-	Intraabdominal pressure test	$194.35	100%	$194.35

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$642.41
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$407.36	100%	$407.36
51741	-51	Electro-uroflowmetry first	$14.14	50%	$7.07
51784	-51	Anal/urinary muscle study	$67.26	50%	$33.63
51797	-	Intraabdominal pressure test	$194.35	100%	$194.35

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0310200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$590.13
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$366.34	100%	$366.34
51741	-51	Electro-uroflowmetry first	$13.80	50%	$6.90
51784	-51	Anal/urinary muscle study	$65.10	50%	$32.55
51797	-	Intraabdominal pressure test	$184.34	100%	$184.34

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$612.79
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$389.00	100%	$389.00
51741	-51	Electro-uroflowmetry first	$13.80	50%	$6.90
51784	-51	Anal/urinary muscle study	$65.10	50%	$32.55
51797	-	Intraabdominal pressure test	$184.34	100%	$184.34

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0320201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$615.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$381.93	100%	$381.93
51741	-51	Electro-uroflowmetry first	$14.28	50%	$7.14
51784	-51	Anal/urinary muscle study	$67.29	50%	$33.65
51797	-	Intraabdominal pressure test	$192.56	100%	$192.56

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$638.59
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$405.24	100%	$405.24
51741	-51	Electro-uroflowmetry first	$14.28	50%	$7.14
51784	-51	Anal/urinary muscle study	$67.29	50%	$33.65
51797	-	Intraabdominal pressure test	$192.56	100%	$192.56

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0330201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$609.56
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$378.31	100%	$378.31
51741	-51	Electro-uroflowmetry first	$13.71	50%	$6.86
51784	-51	Anal/urinary muscle study	$65.95	50%	$32.98
51797	-	Intraabdominal pressure test	$191.42	100%	$191.42

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$631.35
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$400.10	100%	$400.10
51741	-51	Electro-uroflowmetry first	$13.71	50%	$6.86
51784	-51	Anal/urinary muscle study	$65.95	50%	$32.98
51797	-	Intraabdominal pressure test	$191.42	100%	$191.42

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0340202 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$608.68
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$377.75	100%	$377.75
51741	-51	Electro-uroflowmetry first	$13.62	50%	$6.81
51784	-51	Anal/urinary muscle study	$65.75	50%	$32.88
51797	-	Intraabdominal pressure test	$191.24	100%	$191.24

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$630.24
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$399.31	100%	$399.31
51741	-51	Electro-uroflowmetry first	$13.62	50%	$6.81
51784	-51	Anal/urinary muscle study	$65.75	50%	$32.88
51797	-	Intraabdominal pressure test	$191.24	100%	$191.24

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0360221 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$613.86
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$381.03	100%	$381.03
51741	-51	Electro-uroflowmetry first	$14.14	50%	$7.07
51784	-51	Anal/urinary muscle study	$66.96	50%	$33.48
51797	-	Intraabdominal pressure test	$192.28	100%	$192.28

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$636.79
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$403.96	100%	$403.96
51741	-51	Electro-uroflowmetry first	$14.14	50%	$7.07
51784	-51	Anal/urinary muscle study	$66.96	50%	$33.48
51797	-	Intraabdominal pressure test	$192.28	100%	$192.28

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 411201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$636.10
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$394.79	100%	$394.79
51741	-51	Electro-uroflowmetry first	$14.41	50%	$7.21
51784	-51	Anal/urinary muscle study	$68.62	50%	$34.31
51797	-	Intraabdominal pressure test	$199.79	100%	$199.79

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$659.16
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$417.85	100%	$417.85
51741	-51	Electro-uroflowmetry first	$14.41	50%	$7.21
51784	-51	Anal/urinary muscle study	$68.62	50%	$34.31
51797	-	Intraabdominal pressure test	$199.79	100%	$199.79

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0421205 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$566.56
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$351.79	100%	$351.79
51741	-51	Electro-uroflowmetry first	$13.72	50%	$6.86
51784	-51	Anal/urinary muscle study	$63.72	50%	$31.86
51797	-	Intraabdominal pressure test	$176.05	100%	$176.05

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$589.71
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$374.94	100%	$374.94
51741	-51	Electro-uroflowmetry first	$13.72	50%	$6.86
51784	-51	Anal/urinary muscle study	$63.72	50%	$31.86
51797	-	Intraabdominal pressure test	$176.05	100%	$176.05

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0431200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$555.23
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$344.72	100%	$344.72
51741	-51	Electro-uroflowmetry first	$13.21	50%	$6.61
51784	-51	Anal/urinary muscle study	$62.20	50%	$31.10
51797	-	Intraabdominal pressure test	$172.80	100%	$172.80

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$577.21
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$366.70	100%	$366.70
51741	-51	Electro-uroflowmetry first	$13.21	50%	$6.61
51784	-51	Anal/urinary muscle study	$62.20	50%	$31.10
51797	-	Intraabdominal pressure test	$172.80	100%	$172.80

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441209 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$625.77
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$388.39	100%	$388.39
51741	-51	Electro-uroflowmetry first	$14.19	50%	$7.10
51784	-51	Anal/urinary muscle study	$67.97	50%	$33.99
51797	-	Intraabdominal pressure test	$196.30	100%	$196.30

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$648.50
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$411.12	100%	$411.12
51741	-51	Electro-uroflowmetry first	$14.19	50%	$7.10
51784	-51	Anal/urinary muscle study	$67.97	50%	$33.99
51797	-	Intraabdominal pressure test	$196.30	100%	$196.30

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441211 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$626.14
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$388.61	100%	$388.61
51741	-51	Electro-uroflowmetry first	$14.16	50%	$7.08
51784	-51	Anal/urinary muscle study	$67.84	50%	$33.92
51797	-	Intraabdominal pressure test	$196.53	100%	$196.53

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$648.75
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$411.22	100%	$411.22
51741	-51	Electro-uroflowmetry first	$14.16	50%	$7.08
51784	-51	Anal/urinary muscle study	$67.84	50%	$33.92
51797	-	Intraabdominal pressure test	$196.53	100%	$196.53

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441215 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$627.25
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$389.30	100%	$389.30
51741	-51	Electro-uroflowmetry first	$14.22	50%	$7.11
51784	-51	Anal/urinary muscle study	$68.09	50%	$34.05
51797	-	Intraabdominal pressure test	$196.79	100%	$196.79

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$649.99
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$412.04	100%	$412.04
51741	-51	Electro-uroflowmetry first	$14.22	50%	$7.11
51784	-51	Anal/urinary muscle study	$68.09	50%	$34.05
51797	-	Intraabdominal pressure test	$196.79	100%	$196.79

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441218 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$632.37
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$392.53	100%	$392.53
51741	-51	Electro-uroflowmetry first	$14.60	50%	$7.30
51784	-51	Anal/urinary muscle study	$69.06	50%	$34.53
51797	-	Intraabdominal pressure test	$198.01	100%	$198.01

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$656.10
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$416.26	100%	$416.26
51741	-51	Electro-uroflowmetry first	$14.60	50%	$7.30
51784	-51	Anal/urinary muscle study	$69.06	50%	$34.53
51797	-	Intraabdominal pressure test	$198.01	100%	$198.01

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441220 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$583.51
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$362.19	100%	$362.19
51741	-51	Electro-uroflowmetry first	$13.43	50%	$6.72
51784	-51	Anal/urinary muscle study	$64.08	50%	$32.04
51797	-	Intraabdominal pressure test	$182.56	100%	$182.56

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$605.27
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$383.95	100%	$383.95
51741	-51	Electro-uroflowmetry first	$13.43	50%	$6.72
51784	-51	Anal/urinary muscle study	$64.08	50%	$32.04
51797	-	Intraabdominal pressure test	$182.56	100%	$182.56

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441228 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$610.13
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$378.69	100%	$378.69
51741	-51	Electro-uroflowmetry first	$13.88	50%	$6.94
51784	-51	Anal/urinary muscle study	$66.44	50%	$33.22
51797	-	Intraabdominal pressure test	$191.28	100%	$191.28

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$632.41
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$400.97	100%	$400.97
51741	-51	Electro-uroflowmetry first	$13.88	50%	$6.94
51784	-51	Anal/urinary muscle study	$66.44	50%	$33.22
51797	-	Intraabdominal pressure test	$191.28	100%	$191.28

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441231 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$639.45
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$396.83	100%	$396.83
51741	-51	Electro-uroflowmetry first	$14.26	50%	$7.13
51784	-51	Anal/urinary muscle study	$68.50	50%	$34.25
51797	-	Intraabdominal pressure test	$201.24	100%	$201.24

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$661.93
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$419.31	100%	$419.31
51741	-51	Electro-uroflowmetry first	$14.26	50%	$7.13
51784	-51	Anal/urinary muscle study	$68.50	50%	$34.25
51797	-	Intraabdominal pressure test	$201.24	100%	$201.24

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0441299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$589.22
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$365.74	100%	$365.74
51741	-51	Electro-uroflowmetry first	$13.54	50%	$6.77
51784	-51	Anal/urinary muscle study	$64.58	50%	$32.29
51797	-	Intraabdominal pressure test	$184.42	100%	$184.42

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$611.14
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$387.66	100%	$387.66
51741	-51	Electro-uroflowmetry first	$13.54	50%	$6.77
51784	-51	Anal/urinary muscle study	$64.58	50%	$32.29
51797	-	Intraabdominal pressure test	$184.42	100%	$184.42

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0510200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$564.16
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$350.20	100%	$350.20
51741	-51	Electro-uroflowmetry first	$13.02	50%	$6.51
51784	-51	Anal/urinary muscle study	$62.34	50%	$31.17
51797	-	Intraabdominal pressure test	$176.28	100%	$176.28

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$585.31
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$371.35	100%	$371.35
51741	-51	Electro-uroflowmetry first	$13.02	50%	$6.51
51784	-51	Anal/urinary muscle study	$62.34	50%	$31.17
51797	-	Intraabdominal pressure test	$176.28	100%	$176.28

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0520200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$565.01
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$350.72	100%	$350.72
51741	-51	Electro-uroflowmetry first	$13.07	50%	$6.54
51784	-51	Anal/urinary muscle study	$62.46	50%	$31.23
51797	-	Intraabdominal pressure test	$176.52	100%	$176.52

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$586.26
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$371.97	100%	$371.97
51741	-51	Electro-uroflowmetry first	$13.07	50%	$6.54
51784	-51	Anal/urinary muscle study	$62.46	50%	$31.23
51797	-	Intraabdominal pressure test	$176.52	100%	$176.52

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0530201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$602.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$374.10	100%	$374.10
51741	-51	Electro-uroflowmetry first	$14.01	50%	$7.01
51784	-51	Anal/urinary muscle study	$66.14	50%	$33.07
51797	-	Intraabdominal pressure test	$188.48	100%	$188.48

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$625.57
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$397.01	100%	$397.01
51741	-51	Electro-uroflowmetry first	$14.01	50%	$7.01
51784	-51	Anal/urinary muscle study	$66.14	50%	$33.07
51797	-	Intraabdominal pressure test	$188.48	100%	$188.48

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0530202 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$592.43
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$367.77	100%	$367.77
51741	-51	Electro-uroflowmetry first	$13.86	50%	$6.93
51784	-51	Anal/urinary muscle study	$65.33	50%	$32.67
51797	-	Intraabdominal pressure test	$185.06	100%	$185.06

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$615.20
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$390.54	100%	$390.54
51741	-51	Electro-uroflowmetry first	$13.86	50%	$6.93
51784	-51	Anal/urinary muscle study	$65.33	50%	$32.67
51797	-	Intraabdominal pressure test	$185.06	100%	$185.06

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0530299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$541.58
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$336.27	100%	$336.27
51741	-51	Electro-uroflowmetry first	$13.04	50%	$6.52
51784	-51	Anal/urinary muscle study	$61.19	50%	$30.60
51797	-	Intraabdominal pressure test	$168.19	100%	$168.19

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$563.50
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$358.19	100%	$358.19
51741	-51	Electro-uroflowmetry first	$13.04	50%	$6.52
51784	-51	Anal/urinary muscle study	$61.19	50%	$30.60
51797	-	Intraabdominal pressure test	$168.19	100%	$168.19

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0540200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$562.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$349.24	100%	$349.24
51741	-51	Electro-uroflowmetry first	$12.83	50%	$6.42
51784	-51	Anal/urinary muscle study	$61.91	50%	$30.96
51797	-	Intraabdominal pressure test	$176.05	100%	$176.05

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$583.29
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$369.87	100%	$369.87
51741	-51	Electro-uroflowmetry first	$12.83	50%	$6.42
51784	-51	Anal/urinary muscle study	$61.91	50%	$30.96
51797	-	Intraabdominal pressure test	$176.05	100%	$176.05

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0610212 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$594.16
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$368.96	100%	$368.96
51741	-51	Electro-uroflowmetry first	$14.57	50%	$7.29
51784	-51	Anal/urinary muscle study	$66.71	50%	$33.36
51797	-	Intraabdominal pressure test	$184.56	100%	$184.56

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$619.00
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$393.80	100%	$393.80
51741	-51	Electro-uroflowmetry first	$14.57	50%	$7.29
51784	-51	Anal/urinary muscle study	$66.71	50%	$33.36
51797	-	Intraabdominal pressure test	$184.56	100%	$184.56

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0610215 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$651.72
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$404.58	100%	$404.58
51741	-51	Electro-uroflowmetry first	$15.32	50%	$7.66
51784	-51	Anal/urinary muscle study	$71.13	50%	$35.57
51797	-	Intraabdominal pressure test	$203.91	100%	$203.91

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$677.00
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$429.86	100%	$429.86
51741	-51	Electro-uroflowmetry first	$15.32	50%	$7.66
51784	-51	Anal/urinary muscle study	$71.13	50%	$35.57
51797	-	Intraabdominal pressure test	$203.91	100%	$203.91

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0610216 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$647.38
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$401.94	100%	$401.94
51741	-51	Electro-uroflowmetry first	$15.61	50%	$7.81
51784	-51	Anal/urinary muscle study	$71.46	50%	$35.73
51797	-	Intraabdominal pressure test	$201.90	100%	$201.90

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$673.64
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$428.20	100%	$428.20
51741	-51	Electro-uroflowmetry first	$15.61	50%	$7.81
51784	-51	Anal/urinary muscle study	$71.46	50%	$35.73
51797	-	Intraabdominal pressure test	$201.90	100%	$201.90

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0610299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$574.53
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$356.73	100%	$356.73
51741	-51	Electro-uroflowmetry first	$13.85	50%	$6.93
51784	-51	Anal/urinary muscle study	$64.38	50%	$32.19
51797	-	Intraabdominal pressure test	$178.68	100%	$178.68

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$597.83
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$380.03	100%	$380.03
51741	-51	Electro-uroflowmetry first	$13.85	50%	$6.93
51784	-51	Anal/urinary muscle study	$64.38	50%	$32.19
51797	-	Intraabdominal pressure test	$178.68	100%	$178.68

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0620200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$615.08
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$381.71	100%	$381.71
51741	-51	Electro-uroflowmetry first	$13.72	50%	$6.86
51784	-51	Anal/urinary muscle study	$66.27	50%	$33.14
51797	-	Intraabdominal pressure test	$193.37	100%	$193.37

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$636.74
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$403.37	100%	$403.37
51741	-51	Electro-uroflowmetry first	$13.72	50%	$6.86
51784	-51	Anal/urinary muscle study	$66.27	50%	$33.14
51797	-	Intraabdominal pressure test	$193.37	100%	$193.37

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 630200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$579.88
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$359.91	100%	$359.91
51741	-51	Electro-uroflowmetry first	$13.14	50%	$6.57
51784	-51	Anal/urinary muscle study	$63.38	50%	$31.69
51797	-	Intraabdominal pressure test	$181.71	100%	$181.71

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$600.91
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$380.94	100%	$380.94
51741	-51	Electro-uroflowmetry first	$13.14	50%	$6.57
51784	-51	Anal/urinary muscle study	$63.38	50%	$31.69
51797	-	Intraabdominal pressure test	$181.71	100%	$181.71

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0710213 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$535.33
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$332.35	100%	$332.35
51741	-51	Electro-uroflowmetry first	$12.63	50%	$6.32
51784	-51	Anal/urinary muscle study	$60.11	50%	$30.06
51797	-	Intraabdominal pressure test	$166.61	100%	$166.61

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$556.20
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$353.22	100%	$353.22
51741	-51	Electro-uroflowmetry first	$12.63	50%	$6.32
51784	-51	Anal/urinary muscle study	$60.11	50%	$30.06
51797	-	Intraabdominal pressure test	$166.61	100%	$166.61

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0720201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$585.47
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$363.55	100%	$363.55
51741	-51	Electro-uroflowmetry first	$14.32	50%	$7.16
51784	-51	Anal/urinary muscle study	$65.81	50%	$32.91
51797	-	Intraabdominal pressure test	$181.85	100%	$181.85

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$609.84
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$387.92	100%	$387.92
51741	-51	Electro-uroflowmetry first	$14.32	50%	$7.16
51784	-51	Anal/urinary muscle study	$65.81	50%	$32.91
51797	-	Intraabdominal pressure test	$181.85	100%	$181.85

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0720299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$556.34
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$345.48	100%	$345.48
51741	-51	Electro-uroflowmetry first	$13.69	50%	$6.85
51784	-51	Anal/urinary muscle study	$63.14	50%	$31.57
51797	-	Intraabdominal pressure test	$172.44	100%	$172.44

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$579.73
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$368.87	100%	$368.87
51741	-51	Electro-uroflowmetry first	$13.69	50%	$6.85
51784	-51	Anal/urinary muscle study	$63.14	50%	$31.57
51797	-	Intraabdominal pressure test	$172.44	100%	$172.44

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0730200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$535.05
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$332.21	100%	$332.21
51741	-51	Electro-uroflowmetry first	$12.80	50%	$6.40
51784	-51	Anal/urinary muscle study	$60.42	50%	$30.21
51797	-	Intraabdominal pressure test	$166.23	100%	$166.23

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$556.46
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$353.62	100%	$353.62
51741	-51	Electro-uroflowmetry first	$12.80	50%	$6.40
51784	-51	Anal/urinary muscle study	$60.42	50%	$30.21
51797	-	Intraabdominal pressure test	$166.23	100%	$166.23

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0810200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$561.17
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$348.35	100%	$348.35
51741	-51	Electro-uroflowmetry first	$13.01	50%	$6.51
51784	-51	Anal/urinary muscle study	$62.16	50%	$31.08
51797	-	Intraabdominal pressure test	$175.23	100%	$175.23

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$582.39
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$369.57	100%	$369.57
51741	-51	Electro-uroflowmetry first	$13.01	50%	$6.51
51784	-51	Anal/urinary muscle study	$62.16	50%	$31.08
51797	-	Intraabdominal pressure test	$175.23	100%	$175.23

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0820201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$620.57
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$385.30	100%	$385.30
51741	-51	Electro-uroflowmetry first	$14.94	50%	$7.47
51784	-51	Anal/urinary muscle study	$68.75	50%	$34.38
51797	-	Intraabdominal pressure test	$193.42	100%	$193.42

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$645.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$410.39	100%	$410.39
51741	-51	Electro-uroflowmetry first	$14.94	50%	$7.47
51784	-51	Anal/urinary muscle study	$68.75	50%	$34.38
51797	-	Intraabdominal pressure test	$193.42	100%	$193.42

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0820299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$571.91
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$355.08	100%	$355.08
51741	-51	Electro-uroflowmetry first	$13.63	50%	$6.82
51784	-51	Anal/urinary muscle study	$63.85	50%	$31.93
51797	-	Intraabdominal pressure test	$178.09	100%	$178.09

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$594.64
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$377.81	100%	$377.81
51741	-51	Electro-uroflowmetry first	$13.63	50%	$6.82
51784	-51	Anal/urinary muscle study	$63.85	50%	$31.93
51797	-	Intraabdominal pressure test	$178.09	100%	$178.09

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0910203 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$625.00
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$388.08	100%	$388.08
51741	-51	Electro-uroflowmetry first	$15.21	50%	$7.61
51784	-51	Anal/urinary muscle study	$69.48	50%	$34.74
51797	-	Intraabdominal pressure test	$194.57	100%	$194.57

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$650.79
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$413.87	100%	$413.87
51741	-51	Electro-uroflowmetry first	$15.21	50%	$7.61
51784	-51	Anal/urinary muscle study	$69.48	50%	$34.74
51797	-	Intraabdominal pressure test	$194.57	100%	$194.57

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0910204 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$643.78
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$399.82	100%	$399.82
51741	-51	Electro-uroflowmetry first	$16.18	50%	$8.09
51784	-51	Anal/urinary muscle study	$72.21	50%	$36.11
51797	-	Intraabdominal pressure test	$199.76	100%	$199.76

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$671.86
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$427.90	100%	$427.90
51741	-51	Electro-uroflowmetry first	$16.18	50%	$8.09
51784	-51	Anal/urinary muscle study	$72.21	50%	$36.11
51797	-	Intraabdominal pressure test	$199.76	100%	$199.76

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0910299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$590.33
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$366.55	100%	$366.55
51741	-51	Electro-uroflowmetry first	$14.32	50%	$7.16
51784	-51	Anal/urinary muscle study	$66.04	50%	$33.02
51797	-	Intraabdominal pressure test	$183.60	100%	$183.60

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$614.52
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$390.74	100%	$390.74
51741	-51	Electro-uroflowmetry first	$14.32	50%	$7.16
51784	-51	Anal/urinary muscle study	$66.04	50%	$33.02
51797	-	Intraabdominal pressure test	$183.60	100%	$183.60

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0920220 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$619.27
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$384.40	100%	$384.40
51741	-51	Electro-uroflowmetry first	$14.35	50%	$7.18
51784	-51	Anal/urinary muscle study	$67.62	50%	$33.81
51797	-	Intraabdominal pressure test	$193.88	100%	$193.88

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$642.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$407.79	100%	$407.79
51741	-51	Electro-uroflowmetry first	$14.35	50%	$7.18
51784	-51	Anal/urinary muscle study	$67.62	50%	$33.81
51797	-	Intraabdominal pressure test	$193.88	100%	$193.88

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 0920250 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$619.27
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$384.40	100%	$384.40
51741	-51	Electro-uroflowmetry first	$14.35	50%	$7.18
51784	-51	Anal/urinary muscle study	$67.62	50%	$33.81
51797	-	Intraabdominal pressure test	$193.88	100%	$193.88

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$642.66
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$407.79	100%	$407.79
51741	-51	Electro-uroflowmetry first	$14.35	50%	$7.18
51784	-51	Anal/urinary muscle study	$67.62	50%	$33.81
51797	-	Intraabdominal pressure test	$193.88	100%	$193.88

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1011200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$560.09
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$347.75	100%	$347.75
51741	-51	Electro-uroflowmetry first	$13.40	50%	$6.70
51784	-51	Anal/urinary muscle study	$62.81	50%	$31.41
51797	-	Intraabdominal pressure test	$174.23	100%	$174.23

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$582.51
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$370.17	100%	$370.17
51741	-51	Electro-uroflowmetry first	$13.40	50%	$6.70
51784	-51	Anal/urinary muscle study	$62.81	50%	$31.41
51797	-	Intraabdominal pressure test	$174.23	100%	$174.23

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1021201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$613.53
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$380.84	100%	$380.84
51741	-51	Electro-uroflowmetry first	$14.19	50%	$7.10
51784	-51	Anal/urinary muscle study	$67.03	50%	$33.52
51797	-	Intraabdominal pressure test	$192.08	100%	$192.08

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$636.63
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$403.94	100%	$403.94
51741	-51	Electro-uroflowmetry first	$14.19	50%	$7.10
51784	-51	Anal/urinary muscle study	$67.03	50%	$33.52
51797	-	Intraabdominal pressure test	$192.08	100%	$192.08

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1021299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$555.04
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$344.62	100%	$344.62
51741	-51	Electro-uroflowmetry first	$13.31	50%	$6.66
51784	-51	Anal/urinary muscle study	$62.38	50%	$31.19
51797	-	Intraabdominal pressure test	$172.57	100%	$172.57

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$577.34
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$366.92	100%	$366.92
51741	-51	Electro-uroflowmetry first	$13.31	50%	$6.66
51784	-51	Anal/urinary muscle study	$62.38	50%	$31.19
51797	-	Intraabdominal pressure test	$172.57	100%	$172.57

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1031235 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$557.55
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$346.11	100%	$346.11
51741	-51	Electro-uroflowmetry first	$12.98	50%	$6.49
51784	-51	Anal/urinary muscle study	$61.92	50%	$30.96
51797	-	Intraabdominal pressure test	$173.99	100%	$173.99

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$578.80
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$367.36	100%	$367.36
51741	-51	Electro-uroflowmetry first	$12.98	50%	$6.49
51784	-51	Anal/urinary muscle study	$61.92	50%	$30.96
51797	-	Intraabdominal pressure test	$173.99	100%	$173.99

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1120201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$565.04
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$350.78	100%	$350.78
51741	-51	Electro-uroflowmetry first	$13.28	50%	$6.64
51784	-51	Anal/urinary muscle study	$62.84	50%	$31.42
51797	-	Intraabdominal pressure test	$176.20	100%	$176.20

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$586.92
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$372.66	100%	$372.66
51741	-51	Electro-uroflowmetry first	$13.28	50%	$6.64
51784	-51	Anal/urinary muscle study	$62.84	50%	$31.42
51797	-	Intraabdominal pressure test	$176.20	100%	$176.20

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1130200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$612.00
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$379.89	100%	$379.89
51741	-51	Electro-uroflowmetry first	$14.16	50%	$7.08
51784	-51	Anal/urinary muscle study	$66.90	50%	$33.45
51797	-	Intraabdominal pressure test	$191.58	100%	$191.58

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$635.06
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$402.95	100%	$402.95
51741	-51	Electro-uroflowmetry first	$14.16	50%	$7.08
51784	-51	Anal/urinary muscle study	$66.90	50%	$33.45
51797	-	Intraabdominal pressure test	$191.58	100%	$191.58

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1150200 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$578.52
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$359.15	100%	$359.15
51741	-51	Electro-uroflowmetry first	$13.59	50%	$6.80
51784	-51	Anal/urinary muscle study	$64.11	50%	$32.06
51797	-	Intraabdominal pressure test	$180.52	100%	$180.52

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$600.91
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$381.54	100%	$381.54
51741	-51	Electro-uroflowmetry first	$13.59	50%	$6.80
51784	-51	Anal/urinary muscle study	$64.11	50%	$32.06
51797	-	Intraabdominal pressure test	$180.52	100%	$180.52

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1210201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$626.06
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$388.60	100%	$388.60
51741	-51	Electro-uroflowmetry first	$14.42	50%	$7.21
51784	-51	Anal/urinary muscle study	$68.15	50%	$34.08
51797	-	Intraabdominal pressure test	$196.17	100%	$196.17

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$649.45
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$411.99	100%	$411.99
51741	-51	Electro-uroflowmetry first	$14.42	50%	$7.21
51784	-51	Anal/urinary muscle study	$68.15	50%	$34.08
51797	-	Intraabdominal pressure test	$196.17	100%	$196.17

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1220201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$739.99
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$459.24	100%	$459.24
51741	-51	Electro-uroflowmetry first	$16.66	50%	$8.33
51784	-51	Anal/urinary muscle study	$78.62	50%	$39.31
51797	-	Intraabdominal pressure test	$233.11	100%	$233.11

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$766.50
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$485.75	100%	$485.75
51741	-51	Electro-uroflowmetry first	$16.66	50%	$8.33
51784	-51	Anal/urinary muscle study	$78.62	50%	$39.31
51797	-	Intraabdominal pressure test	$233.11	100%	$233.11

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1230201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$668.88
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$415.19	100%	$415.19
51741	-51	Electro-uroflowmetry first	$15.50	50%	$7.75
51784	-51	Anal/urinary muscle study	$72.56	50%	$36.28
51797	-	Intraabdominal pressure test	$209.66	100%	$209.66

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$694.16
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$440.47	100%	$440.47
51741	-51	Electro-uroflowmetry first	$15.50	50%	$7.75
51784	-51	Anal/urinary muscle study	$72.56	50%	$36.28
51797	-	Intraabdominal pressure test	$209.66	100%	$209.66

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1230299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$635.58
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$394.52	100%	$394.52
51741	-51	Electro-uroflowmetry first	$14.72	50%	$7.36
51784	-51	Anal/urinary muscle study	$69.24	50%	$34.62
51797	-	Intraabdominal pressure test	$199.08	100%	$199.08

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$659.55
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$418.49	100%	$418.49
51741	-51	Electro-uroflowmetry first	$14.72	50%	$7.36
51784	-51	Anal/urinary muscle study	$69.24	50%	$34.62
51797	-	Intraabdominal pressure test	$199.08	100%	$199.08

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1240201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$717.85
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$445.48	100%	$445.48
51741	-51	Electro-uroflowmetry first	$16.01	50%	$8.01
51784	-51	Anal/urinary muscle study	$76.23	50%	$38.12
51797	-	Intraabdominal pressure test	$226.25	100%	$226.25

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$743.12
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$470.75	100%	$470.75
51741	-51	Electro-uroflowmetry first	$16.01	50%	$8.01
51784	-51	Anal/urinary muscle study	$76.23	50%	$38.12
51797	-	Intraabdominal pressure test	$226.25	100%	$226.25

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1240299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$688.17
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$427.09	100%	$427.09
51741	-51	Electro-uroflowmetry first	$15.52	50%	$7.76
51784	-51	Anal/urinary muscle study	$73.67	50%	$36.84
51797	-	Intraabdominal pressure test	$216.48	100%	$216.48

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$712.88
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$451.80	100%	$451.80
51741	-51	Electro-uroflowmetry first	$15.52	50%	$7.76
51784	-51	Anal/urinary muscle study	$73.67	50%	$36.84
51797	-	Intraabdominal pressure test	$216.48	100%	$216.48

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1250201 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$660.65
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$410.07	100%	$410.07
51741	-51	Electro-uroflowmetry first	$15.25	50%	$7.63
51784	-51	Anal/urinary muscle study	$71.62	50%	$35.81
51797	-	Intraabdominal pressure test	$207.14	100%	$207.14

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$685.44
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51729	-	Cystometrogram w/vp&up	$434.86	100%	$434.86
51741	-51	Electro-uroflowmetry first	$15.25	50%	$7.63
51784	-51	Anal/urinary muscle study	$71.62	50%	$35.81
51797	-	Intraabdominal pressure test	$207.14	100%	$207.14

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.

Mac Locality 1250299 Procedure Reimbursements

Based on Medicare National Average

Complex CMG with Voiding Pressure Study, EMG and Uroflow
Total Reimbursement per Patient:					$584.62
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE
51728	-	Cystometrogram w/vp	$362.93	100%	$362.93
51741	-51	Electro-uroflowmetry first	$13.74	50%	$6.87
51784	-51	Anal/urinary muscle study	$64.71	50%	$32.36
51797	-	Intraabdominal pressure test	$182.46	100%	$182.46

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow
Total Reimbursement per Patient:					$607.28
CPT CODE	MODIFIER	PROCEDURE	REIMBURSEMENT		ALLOWABLE FEE