| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.68 | $141.25 | $181.97 | |
Hometown Health
| Professional | $0.68 | $0.68 | $162.18 | |
United
| Professional | $85.11 | $107.15 | $165.96 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.68 | $141.25 | $181.97 | |
Hometown Health
| Professional | $0.68 | $0.68 | $162.18 | |
United
| Professional | $85.11 | $107.15 | $165.96 |