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Alabama rates for HCPCS 74775

Perineogram (eg, vaginogram, for sex determination or extent of anomalies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $194.98 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $302.00 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $371.54 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $218.78 / $302.00