Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure); multiple organs (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.77 | $277.77 | $277.77 | |
Aetna
| Professional | $266.70 | $277.77 | $307.33 | |
Cigna
| Facility | $410.01 | $4,688.88 | $4,783.06 | |
Medcost
| Facility | $277.41 | $277.77 | $450.00 | |
Medcost
| Professional | $1,029.44 | $1,029.44 | $1,029.44 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $284.70 | $372.38 | $614.38 |