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Pennsylvania 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
$288.40 / $478.63 / $575.44
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $295.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $295.12 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $177.83 / $245.47