go back

Missouri 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
$108.87 / $205.80 / $280.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.42 / $206.79 / $250.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $120.58 / $360.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.41 / $221.01 / $912.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $111.88 / $177.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.81 / $230.97 / $551.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.05 / $297.77 / $565.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $274.64 / $478.01