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Florida rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.87 / $146.87 / $303.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.87 / $189.46 / $275.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.94 / $313.18 / $633.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $92.51 / $170.14
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.07 / $196.40 / $314.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $109.00 / $255.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.11 / $35.39 / $49.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $1,179.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $201.96 / $397.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $213.40 / $213.40