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Rhode Island rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.82 / $192.57 / $223.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.51 / $457.00 / $532.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.88 / $115.88 / $167.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.11 / $654.17 / $1,150.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $123.04 / $179.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $286.83 / $530.25