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Massachusetts 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
$17.48 / $17.48 / $64.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.41 / $54.00 / $129.00
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.77 / $129.00 / $129.00