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Ohio rates for HCPCS 76102

Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $76.03 / $116.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.64 / $355.28 / $572.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $118.62 / $315.44