go back

Alabama rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.95 / $29.95 / $29.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.69 / $26.69 / $26.92