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North Dakota rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.45 / $67.45 / $108.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.32 / $331.97 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.12 / $88.48 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.79 / $239.43 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.72 / $557.45 / $584.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.27 / $153.36 / $160.30
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.44 / $404.09 / $423.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.95 / $72.95 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.59 / $517.13 / $811.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.16 / $117.06 / $162.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.14 / $390.22 / $690.15
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$596.96 / $596.96 / $596.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.88 / $591.71 / $2,821.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.65 / $128.46 / $625.77
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.13 / $432.72 / $2,451.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $548.41 / $720.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.56 / $123.25 / $168.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.60 / $398.55 / $638.07