go back

South Carolina rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.45 / $191.45 / $191.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $191.45 / $203.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.41 / $522.24 / $1,030.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $153.43 / $290.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.69 / $752.99 / $1,215.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.53 / $106.67 / $181.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.38 / $185.79 / $453.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $832.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $57.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.39 / $251.66 / $489.60