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Illinois rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.55 / $39.88 / $52.02
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.25 / $37.79 / $93.71
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00