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Hawaii rates for HCPCS 74775

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

Professionalmedian $191 · 10th–90th $50–$2880%10%10th90th$191$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $151.36
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $107.15 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $316.23 / $549.54
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $134.90