go back

South Dakota rates for HCPCS 74190

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

Facilitymedian $22 · 10th–90th $22–$220%50%$22Professionalmedian $38 · 10th–90th $27–$470%20%10th90th$38$20.0$50.0

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
$21.88 / $21.88 / $21.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $46.77 / $53.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $37.15 / $41.69