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Wisconsin rates for HCPCS 76101

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

Facilitymedian $355 · 10th–90th $224–$6170%10%20%10th90th$355Professionalmedian $363 · 10th–90th $151–$8710%10%20%10th90th$363$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $363.08 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $616.60 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $100.00 / $223.87