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Montana rates for HCPCS 74190

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

Facilitymedian $34 · 10th–90th $34–$430%20%40%90th$34

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $42.66
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $42.66