go back

Montana rates for HCPCS 74775

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $123.03 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $190.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $141.25 / $537.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $177.83 / $346.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $1,819,700.86 / $2,398,832.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $263.03 / $446.68