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Washington, DC rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.68 / $92.39 / $180.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.79 / $25.23 / $47.99