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North Dakota 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
$53.70 / $239.88 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $141.25 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $204.17 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $457.09 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $316.23 / $602.56