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Iowa rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.06 / $72.16 / $132.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.33 / $74.50 / $76.67
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.38 / $33.17 / $58.50
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.50 / $129.00 / $129.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.50 / $76.67 / $121.32