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Georgia rates for HCPCS 76101

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

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $229.09 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $263.03