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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
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $138.04 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $199.53 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $109.65 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $134.90 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $263.03 / $537.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $691.83