go back

Iowa rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.68 / $122.68 / $122.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.42 / $204.60 / $292.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.41 / $576.19 / $592.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.71 / $217.97 / $517.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $148.68 / $311.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $282.26 / $738.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $289.97 / $565.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.61 / $209.73 / $576.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.82 / $167.22 / $545.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $100.69 / $268.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.87 / $289.97 / $486.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.63 / $441.30 / $519.20