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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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.64 / $285.64 / $342.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.87 / $681.87 / $681.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $202.00 / $372.00