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New York 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
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $153.97 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.64 / $342.24 / $572.88