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South Carolina rates for HCPCS 74190

Peritoneogram Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.79 / $18.79 / $18.79
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.00 / $41.00 / $68.38