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Missouri 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
$19.46 / $29.05 / $50.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.77 / $129.00 / $129.00