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Illinois rates for HCPCS 74190

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

Facilitymedian $40 · 10th–90th $21–$660%20%10th90th$40Professionalmedian $45 · 10th–90th $26–$1050%10%10th90th$45$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $39.81 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $44.67 / $104.71
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00