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Indiana rates for HCPCS 76102

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

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $79.43 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $204.17 / $489.78