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Contrast X-Ray Of The Perineum

New Hampshire rates for HCPCS 74775

An X-ray study in which a contrast liquid is placed into an opening in the area between the legs so that the internal passages there show up on the images. It maps anatomy that has not formed in the usual way, showing where a channel leads and how the internal structures join up.

Facilitymedian $288 · 10th–90th $93$1,4130%5%10%10th90th$288Professionalmedian $209 · 10th–90th $110$3800%10%10th90th$209$100.0$200.0$500.0$1.0K$2.0K

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
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$316.23
Typical High
$660.69
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$128.82