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Maryland 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 / $354.81 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $60.26 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $288.40