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Nationwide rates for HCPCS 76102

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $338.84 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $69.18 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $323.59