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Indiana 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 / $190.55 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $91.20 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $346.74