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Texas 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
$14.09 / $18.47 / $27.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $129.00 / $129.00
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.18 / $25.18 / $25.18