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New Hampshire rates for HCPCS 74190

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

Facilitymedian $89 · 10th–90th $18$890%50%10th$89$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.22 / $20.89 / $28.84