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Minnesota 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
Facility
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $251.19