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Maryland 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 / $199.53 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $52.48 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $109.65 / $190.55