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North Carolina 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
$20.02 / $24.55 / $37.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.00 / $34.79 / $61.16
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $129.00 / $129.00