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North Carolina 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
$285.64 / $342.24 / $572.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $172.00 / $214.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.60 / $283.70 / $450.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.47 / $766.02 / $766.02
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.23 / $1,170.03 / $1,170.03