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Ohio rates for HCPCS 74775

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

Facilitymedian $324 · 10th–90th $178$6310%10%20%10th90th$324Professionalmedian $209 · 10th–90th $100$3310%10%10th90th$209$5.0$20.0$100.0$500.0

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
$223.87 / $323.59 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $186.21 / $331.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $251.19 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $186.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $112.20 / $794.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $63.10
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $234.42 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $181.97 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $245.47 / $407.38