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Arkansas rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.57 / $139.63 / $145.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.63 / $139.63 / $230.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.73 / $223.73 / $243.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $223.99 / $371.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $120.06 / $154.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.96 / $241.72 / $456.99