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Pennsylvania 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 / $323.59
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $109.65 / $234.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $104.71 / $165.96