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Tennessee rates for HCPCS 74190

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.96 / $19.82 / $119.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $27.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $129.00 / $129.00