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Illinois 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
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $100.00 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $281.84