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Hawaii 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
$21.54 / $24.41 / $28.71
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
$23.40 / $25.52 / $29.78