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Indiana 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
$71.51 / $85.82 / $3,060.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$40.24 / $105.75 / $185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.07 / $280.50 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.52 / $91.29 / $171.20
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$97.14 / $107.89 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.66 / $176.84 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.65 / $153.69 / $219.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.82 / $55.76 / $97.17
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.24 / $700.05 / $700.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.55 / $419.92 / $627.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.64 / $109.89 / $142.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.24 / $308.58 / $478.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.02 / $138.33 / $235.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$45.11 / $45.11 / $45.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.49 / $514.80 / $977.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.52 / $92.93 / $172.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.66 / $418.50 / $790.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.18 / $339.05 / $742.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.64 / $79.98 / $143.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.44 / $240.78 / $591.48