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New Jersey rates for HCPCS 74775

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

Facilitymedian $575 · 10th–90th $83–$1,6600%10%10th90th$575Professionalmedian $200 · 10th–90th $93–$3310%10%10th90th$200$50.0$200.0$1.0K$5.0K

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
$74.13 / $1,148.15 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $125.89 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $144.54 / $194.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $870.96 / $2,290.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $229.09 / $478.63