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Arizona rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.05 / $75.11 / $93.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.00 / $129.00 / $129.00