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Michigan 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 / $758.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $104.71 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $194.98 / $331.13