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Nationwide rates for HCPCS 76101

Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; unilateral

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $457.09 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $58.88 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $218.78