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Texas rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.68 / $198.15 / $1,082.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $195.18 / $265.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.65 / $528.19 / $954.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $104.01 / $279.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.59 / $236.75 / $819.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.66 / $92.51 / $167.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.43 / $738.95 / $738.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.13 / $565.13 / $688.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.07 / $128.03 / $332.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $50.66 / $75.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.46 / $50.02 / $110.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.35 / $130.55 / $305.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.30 / $96.99 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.30 / $241.93 / $394.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $236.27 / $339.69