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Massachusetts rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $223.31 / $223.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.87 / $223.31 / $262.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.23 / $386.12 / $738.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $279.52 / $565.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.86 / $329.58 / $659.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.38 / $447.01 / $1,267.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.71 / $147.27 / $259.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.83 / $168.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.78 / $101.88 / $183.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $202.31 / $275.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.59 / $738.95 / $738.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.68 / $374.15 / $630.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $317.88 / $630.29