go back

Alaska rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$318.35 / $746.24 / $780.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $1,880.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $624.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,256.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.32 / $1,125.00 / $1,273.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.02 / $337.50 / $357.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$362.30 / $787.50 / $925.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.63 / $1,000.47 / $2,184.33
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$245.83 / $300.47 / $738.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$545.52 / $705.48 / $1,445.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.75 / $1,494.95 / $2,486.77
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.00 / $425.60 / $684.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$908.75 / $1,121.00 / $1,772.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.49 / $1,306.25 / $2,428.90
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$328.34 / $454.50 / $677.21
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$833.00 / $1,189.50 / $1,772.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.08 / $975.20 / $1,949.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.80 / $450.36 / $639.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$639.26 / $964.39 / $1,453.69