go back

Alaska rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.13 / $665.13 / $665.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.27 / $1,060.27 / $1,060.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $229.44 / $285.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $38.70 / $951.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $82.13 / $117.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $329.40 / $545.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $46.44 / $1,060.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $366.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $632.65 / $1,307.36