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Wyoming 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
$97.73 / $97.73 / $99.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.99 / $475.00 / $558.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.31 / $140.00 / $167.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.82 / $335.00 / $391.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.00 / $1,490.00 / $2,754.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.00 / $425.00 / $786.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$648.00 / $1,065.00 / $1,968.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.62 / $847.39 / $1,545.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.72 / $176.51 / $381.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$395.84 / $620.77 / $1,264.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.76 / $763.40 / $2,223.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.69 / $192.04 / $345.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$444.08 / $552.35 / $1,893.09