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Michigan 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
$26.46 / $26.46 / $26.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.32 / $19.32 / $26.46