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Virginia rates for HCPCS 76102

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

Facilitymedian $66 · 10th–90th $26–$1820%5%10%10th90th$66Professionalmedian $200 · 10th–90th $115–$3550%10%10th90th$200$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $316.23 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $60.26 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $186.21 / $338.84