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Wisconsin rates for HCPCS 70540

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

Facilitymedian $170 · 10th–90th $132$5750%20%10th90th$170Professionalmedian $257 · 10th–90th $85$7590%5%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $169.82 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $120.23 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $295.12 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $97.72 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $323.59 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $676.08 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $173.78 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $489.78 / $691.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $501.19 / $691.83
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $141.25 / $190.55
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $363.08 / $512.86
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $660.69 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $141.25 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $501.19 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $660.69 / $977.24
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $151.36 / $257.04
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $537.03 / $933.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $562.34 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $575.44 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,621.81 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $331.13 / $630.96
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $1,380.38 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,513.56 / $2,238.72
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $371.54 / $446.68
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$870.96 / $1,380.38 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $851.14 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $302.00 / $489.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $436.52 / $812.83