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Illinois rates for HCPCS 70540

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $426.58 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $117.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $295.12 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $63.10 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $263.03 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $295.12 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $616.60 / $2,398.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $125.89 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $501.19 / $1,819.70
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $79.43 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $199.53 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $79.43 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $331.13 / $616.60