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Texas 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 / $426.58 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,174.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $380.19 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $354.81