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Maryland 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
$19.11 / $19.11 / $19.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.79 / $26.39 / $38.79