go back

Washington, DC rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.67 / $235.67 / $235.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.94 / $235.67 / $235.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $105.66 / $291.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.51 / $405.49 / $1,959.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $125.32 / $334.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.73 / $100.42 / $186.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $260.61 / $810.34