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Oklahoma rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.01 / $22.28 / $125.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.12 / $22.12 / $35.49
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.77 / $129.00 / $129.00