| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $45.98 | $85.54 | $131.52 | |
CareSource
| Professional | $40.86 | $40.86 | $40.86 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $45.98 | $85.54 | $131.52 | |
CareSource
| Professional | $40.86 | $40.86 | $40.86 |