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Georgia rates for HCPCS 74190

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.22 / $46.04 / $98.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.25 / $37.07 / $82.35