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Nebraska rates for HCPCS 74190

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

Facilitymedian $69 · 10th–90th $69–$2040%20%40%90th$69Professionalmedian $48 · 10th–90th $42–$740%20%10th90th$48$20.0$50.0$100.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $47.86 / $74.13
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23