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Florida rates for HCPCS 74775

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

Facilitymedian $204 · 10th–90th $58–$4680%10%20%10th90th$204Professionalmedian $191 · 10th–90th $78–$2750%10%10th90th$191$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $275.42
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $208.93 / $467.74
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $61.66 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $446.68 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $87.10 / $181.97
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $147.91 / $323.59
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $199.53 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $204.17 / $398.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $257.04