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Nebraska rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.96 / $115.58 / $194.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.32 / $121.32 / $121.32
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.00 / $129.00 / $129.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.50 / $76.67 / $121.32