go back

Washington 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
$269.15 / $338.84 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $323.59 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $380.19