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Texas 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
$159.22 / $237.28 / $323.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.82 / $621.92 / $621.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.72 / $875.23 / $875.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $293.60 / $353.80