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Washington rates for HCPCS 74190

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

Facilitymedian $44 · 10th–90th $26$2000%10%10th90th$44$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$23.99 / $48.98 / $81.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $831.76
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25