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New Jersey rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.42 / $74.42 / $1,144.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.42 / $192.57 / $262.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $92.09 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $105.08 / $170.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.20 / $139.68 / $392.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.24 / $587.66 / $1,120.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $96.07 / $237.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $264.24 / $497.41