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Delaware rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $146.00 / $146.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.36 / $231.73 / $240.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.28 / $402.28 / $402.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $91.54 / $145.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $264.89 / $594.29