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Alaska rates for HCPCS 70543

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$323.59 / $741.31 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $154.88 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $436.52 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $338.84 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$794.33 / $794.33 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.60 / $741.31 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $302.00 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $645.65 / $1,445.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $2,511.89
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $407.38 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,000.00 / $1,122.02 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $331.13 / $354.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $794.33 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $3,715.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $380.19 / $741.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$645.65 / $954.99 / $3,019.95