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Utah rates for HCPCS 76102

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

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $234.42 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $489.78