| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.78 | $181.97 | $234.42 | |
Hometown Health
| Professional | $0.78 | $0.78 | $208.93 | |
United
| Professional | $97.72 | $177.83 | $281.84 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.78 | $181.97 | $234.42 | |
Hometown Health
| Professional | $0.78 | $0.78 | $208.93 | |
United
| Professional | $97.72 | $177.83 | $281.84 |