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Louisiana rates for HCPCS 74775

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

Facilitymedian $263 · 10th–90th $135$5130%20%10th90th$263Professionalmedian $224 · 10th–90th $145$2950%20%10th90th$224$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
$239.88 / $251.19 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $288.40 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $323.59 / $338.84
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $234.42 / $346.74