CPT 76102

Bilateral complex motion tomography X-ray

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Complex body section x-rays

Payer pricing summary

Low

Average

$59

Median

$51

High

$157

Payer rate distribution

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All methodologies Case rate 14 Fee schedule 27 Per diem 2 Percent of billed charges 20 Other 16

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#
1	Molina facility · case rate · outpatient · +2 other terms	27	$49	$51	$13	26%	—	$36 – $87
2	UnitedHealthcare facility · case rate · outpatient · +1 other terms	18	$52	$54	$14	26%	—	$36 – $89
3	Anthem facility · case rate · outpatient · +1 other terms	15	$51	$56	$13	23%	—	$35 – $87
4	Caresource facility · case rate · outpatient	15	$52	$56	$13	23%	—	$35 – $89
5	Optum facility · case rate · outpatient	13	$47	$50	$13	26%	—	$34 – $79
6	Humana facility · case rate · outpatient	8	$36	$37	$2	5%	—	$36 – $39
7	Aetna Better Health facility · case rate · outpatient	7	$43	$42	$1	1%	—	$41 – $43
8	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$39	$40	$1	3%	—	$39 – $43
9	Aetna facility · case rate · outpatient · +1 other terms	6	$48	$50	$14	28%	—	$36 – $79
10	Blue Cross Blue Shield facility · case rate · outpatient	4	$81	$80	$25	31%	—	$52 – $116

Page 1 of 2 · 14 payers

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