| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $53.70 | $234.42 | $316.23 | |
United
| Professional | $97.72 | $97.72 | $489.78 |
Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $53.70 | $234.42 | $316.23 | |
United
| Professional | $97.72 | $97.72 | $489.78 |