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Minnesota rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.19 / $22.19 / $22.19
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.45 / $73.61 / $181.02
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.69 / $66.34 / $142.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.00 / $129.00 / $129.00