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New York 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 / $190.55 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $269.15