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Pennsylvania rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.81 / $126.00 / $374.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.32 / $425.00 / $1,390.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.47 / $126.00 / $182.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.20 / $299.00 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.24 / $149.01 / $217.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.89 / $89.79 / $104.53
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.73 / $294.10 / $633.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.45 / $81.93 / $125.85
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.29 / $211.25 / $518.05
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
$219.74 / $452.90 / $845.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.31 / $77.48 / $127.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.30 / $338.88 / $721.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.94 / $355.57 / $1,280.58
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.39 / $83.33 / $131.60
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.41 / $235.88 / $336.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.82 / $261.82 / $581.79
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.89 / $77.98 / $118.99
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.81 / $126.00 / $403.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $425.00 / $1,390.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.47 / $126.00 / $269.64
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.24 / $299.00 / $729.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.43 / $262.00 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.19 / $72.95 / $72.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.74 / $440.06 / $792.51
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.18 / $77.08 / $129.50
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.30 / $338.88 / $688.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.07 / $63.07 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.29 / $226.83 / $510.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.46 / $63.10 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.19 / $163.76 / $421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.21 / $344.37 / $617.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.62 / $74.11 / $124.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.57 / $255.23 / $494.43