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Missouri 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
$129.00 / $141.68 / $231.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.27 / $510.17 / $2,746.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.78 / $162.13 / $571.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.00 / $361.94 / $1,088.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.75 / $194.75 / $255.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.37 / $100.87 / $152.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.68 / $540.13 / $1,268.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.73 / $123.88 / $222.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.95 / $407.02 / $1,045.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.17 / $116.17 / $116.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.91 / $575.00 / $1,372.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.60 / $144.55 / $249.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.85 / $429.28 / $1,205.06
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$742.64 / $950.80 / $950.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.72 / $805.24 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.21 / $149.40 / $883.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.05 / $643.41 / $5,438.76
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.98 / $184.98 / $184.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.20 / $558.04 / $1,433.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.64 / $127.87 / $220.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.48 / $406.10 / $974.10