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Michigan 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 / $269.15 / $416.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $77.62 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $128.82 / $204.17