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Idaho rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.25 / $56.25 / $56.25
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.77 / $68.77 / $83.18
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$936.81 / $936.81 / $936.81