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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
$33.88 / $33.88 / $42.66
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.88 / $33.88 / $42.66