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New Mexico rates for HCPCS 74775

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

Facilitymedian $251 · 10th–90th $87–$1,2300%10%10th90th$251Professionalmedian $195 · 10th–90th $123–$2880%20%10th90th$195$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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
$173.78 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $933.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $36.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $173.78 / $316.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $131.83 / $2,238,721.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $467.74 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $239.88 / $512.86