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Vermont rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.43 / $195.22 / $237.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $585.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.23 / $120.56 / $379.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $585.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.10 / $119.63 / $379.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $342.60 / $1,179.68