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Maine rates for HCPCS 74775

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

Facilitymedian $309 · 10th–90th $245–$3390%50%10th90th$309Professionalmedian $224 · 10th–90th $115–$3310%10%20%10th90th$224$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $363.08 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $245.47 / $467.74