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Oklahoma rates for HCPCS 76102

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $199.53 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $263.03