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West Virginia rates for HCPCS 74775

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

Facilitymedian $204 · 10th–90th $60$2950%50%10th90th$204Professionalmedian $209 · 10th–90th $145$2750%20%10th90th$209$50.0$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $208.93 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $97.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $165.96 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $109.65 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $158.49 / $436.52