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California rates for HCPCS 76101

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $870.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $131.83 / $281.84