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Minnesota rates for HCPCS 74190

Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation

Facilitymedian $69 · 10th–90th $22$1480%10%10th90th$69$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $77.62 / $190.55
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $75.86 / $147.91
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82