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Ohio 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
$223.96 / $379.69 / $583.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $223.96 / $375.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.04 / $550.62 / $628.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $176.72 / $331.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.39 / $47.22 / $110.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.61 / $50.92 / $92.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.90 / $529.73 / $798.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $107.47 / $181.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.90 / $497.35 / $830.36
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $103.77 / $178.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $46.90 / $62.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $264.89 / $487.56