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Connecticut rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.41 / $262.41 / $293.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $224.04 / $262.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.80 / $224.61 / $604.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.84 / $456.12 / $636.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.46 / $219.17 / $993.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $129.88 / $222.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $108.32 / $139.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.84 / $380.81 / $532.14