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Maryland rates for HCPCS 74775

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

Facilitymedian $107 · 10th–90th $28–$2630%20%10th90th$107Professionalmedian $224 · 10th–90th $95–$3310%10%10th90th$224$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $288.40 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $53.70 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $229.09 / $478.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $269.15 / $398.11