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Alaska rates for HCPCS 74775

Perineogram (eg, vaginogram, for sex determination or extent of anomalies)

Facilitymedian $186 · 10th–90th $51$4570%10%20%10th90th$186Professionalmedian $229 · 10th–90th $155$4680%10%20%10th90th$229$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $141.25 / $263.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $186.21 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $660.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $549.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $186.21 / $426.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $2,238,721.14 / $2,630,267.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $602.56 / $1,071.52