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North Dakota 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
$269.15 / $338.84 / $467.74
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
$151.36 / $177.83 / $204.17