| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $45.98 | $88.70 | $141.26 | |
CareSource
| Professional | $35.32 | $45.98 | $54.50 | |
Molina
| Professional | $26.49 | $56.31 | $90.20 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $45.98 | $88.70 | $141.26 | |
CareSource
| Professional | $35.32 | $45.98 | $54.50 | |
Molina
| Professional | $26.49 | $56.31 | $90.20 |