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Missouri 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
$151.72 / $190.78 / $319.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.00 / $621.92 / $621.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.23 / $875.23 / $875.23