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Texas rates for HCPCS 74190

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

Facilitymedian $18 · 10th–90th $14–$1410%20%10th90th$18$5.0$10.0$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
$14.13 / $15.14 / $20.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.37 / $25.12 / $35.48
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $141.25
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $19.95 / $28.84
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.50 / $25.70 / $37.15