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Virginia 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 / $159.22 / $190.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.29 / $516.29 / $516.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $141.00 / $277.00