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Louisiana rates for HCPCS 74775

Perineogram (eg, vaginogram, for sex determination or extent of anomalies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.98 / $251.05 / $265.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $252.19 / $276.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.59 / $291.14 / $519.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $320.22 / $365.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.63 / $147.87 / $244.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $86.74 / $144.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $238.41 / $407.19