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Louisiana rates for HCPCS 76102

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

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $47.86 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $194.98 / $275.42