go back

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
$16.98 / $38.02 / $87.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $53.70 / $138.04
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $53.70 / $138.04