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Minnesota 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
Facility
Modifier
Low / Median / High Price
$257.04 / $371.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $316.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $354.81 / $691.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $169.82