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Utah rates for HCPCS 76101

Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; unilateral

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $165.96 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $269.15