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Maine rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $223.31 / $271.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.08 / $308.14 / $505.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.65 / $361.25 / $469.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.03 / $127.05 / $189.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $116.37 / $218.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $223.31 / $271.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.19 / $298.85 / $617.61