go back

Montana rates for HCPCS 74190

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.18 / $34.18 / $42.25
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.18 / $34.18 / $42.25