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California rates for HCPCS 74190

Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation

Facilitymedian $59 · 10th–90th $22–$1410%20%10th90th$59Professionalmedian $27 · 10th–90th $11–$450%20%10th90th$27$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $42.66 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.37 / $25.12 / $35.48
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $24.55 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.18 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $141.25
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20