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Virginia rates for HCPCS 74190

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

Facilitymedian $39 · 10th–90th $19–$1450%10%20%10th90th$39Professionalmedian $28 · 10th–90th $21–$420%10%10th90th$28$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $38.90 / $144.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $24.55 / $31.62
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $41.69 / $47.86