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Kansas rates for HCPCS 76102

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $58.88 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $302.00