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Oklahoma rates for HCPCS 74190

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

Facilitymedian $25 · 10th–90th $18–$1410%20%10th90th$25$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
$18.20 / $23.44 / $141.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $35.48
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $128.82 / $128.82