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Wyoming 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
$60.83 / $60.83 / $61.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $372.30 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.47 / $105.62 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.24 / $266.68 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $994.00 / $1,836.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.00 / $267.00 / $493.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$442.00 / $727.00 / $1,343.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $512.66 / $925.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.27 / $99.69 / $176.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.82 / $421.63 / $707.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.04 / $511.26 / $1,483.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.18 / $120.42 / $217.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.64 / $392.66 / $1,276.01