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North Carolina 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
$90.11 / $203.60 / $203.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $203.60 / $237.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $78.42 / $78.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.70 / $104.66 / $276.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.84 / $133.90 / $228.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.00 / $203.60 / $352.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $345.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $52.83 / $140.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.55 / $294.75 / $681.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.43 / $738.95 / $738.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.13 / $565.13 / $688.13