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Kentucky 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
$45.98 / $88.70 / $141.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.32 / $45.98 / $54.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $56.31 / $90.20