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Washington rates for HCPCS 76101

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

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.82 / $621.92 / $621.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.72 / $875.23 / $875.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.72 / $151.72 / $190.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.23 / $249.24 / $334.56