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Iowa rates for HCPCS 74775

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

Facilitymedian $302 · 10th–90th $87$7410%10%10th90th$302Professionalmedian $209 · 10th–90th $155$3240%10%20%10th90th$209$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
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $316.23 / $741.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $275.42 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $245.47 / $588.84
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $588.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $63.10 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $512.86 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $275.42 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $524.81