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Massachusetts rates for HCPCS 74775

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

Facilitymedian $224 · 10th–90th $71$4790%10%10th90th$224Professionalmedian $209 · 10th–90th $105$3310%20%10th90th$209$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$100.00 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $288.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $398.11 / $741.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $251.19 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $389.05 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $125.89 / $245.47
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $100.00 / $223.87
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $100.00 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $169.82 / $323.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $398.11 / $741.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $251.19 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $181.97 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $263.03 / $512.86