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Arizona rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.43 / $282.43 / $282.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $198.15 / $265.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.42 / $684.71 / $1,128.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $247.30 / $309.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.51 / $509.25 / $717.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.80 / $106.40 / $173.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $185.01 / $439.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $264.89 / $565.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $263.64 / $389.02