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Alaska rates for HCPCS 70551

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$220.17 / $469.23 / $539.52
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$111.74 / $453.95 / $852.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $1,445.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.87 / $154.00 / $431.62
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$432.17 / $547.65 / $547.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $663.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $727.71 / $900.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.47 / $241.48 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.54 / $486.23 / $630.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.58 / $580.29 / $1,513.53
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$168.20 / $206.28 / $509.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.84 / $346.93 / $771.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.50 / $847.60 / $1,403.58
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$260.00 / $280.80 / $477.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$487.50 / $565.50 / $940.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.06 / $797.50 / $1,375.50
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$226.73 / $316.50 / $471.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$481.20 / $630.00 / $932.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.96 / $797.49 / $1,156.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.34 / $312.66 / $442.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.84 / $503.76 / $713.66