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Minnesota rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.00 / $253.45 / $253.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $237.30 / $342.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.08 / $413.63 / $870.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $84.15 / $102.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.74 / $324.83 / $798.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.98 / $181.11 / $303.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.75 / $292.76 / $628.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.61 / $168.80 / $287.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.69 / $125.28 / $276.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $468.43 / $765.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.02 / $359.62 / $768.50