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Oklahoma 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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $173.78 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $223.87 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $181.97 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $229.09 / $331.13