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Maine 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
$80.05 / $167.00 / $167.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$95.46 / $97.76 / $105.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.13 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.06 / $140.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$106.96 / $212.50 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.34 / $335.00 / $433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $280.02 / $413.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.37 / $94.95 / $143.75
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.72 / $184.54 / $269.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.60 / $402.33 / $924.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.81 / $112.82 / $157.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.03 / $274.12 / $647.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.50 / $296.62 / $535.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.74 / $103.18 / $186.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.76 / $193.45 / $348.98
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.05 / $97.50 / $167.00
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$95.46 / $97.76 / $105.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.08 / $475.00 / $600.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.22 / $140.00 / $175.42
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$113.57 / $212.50 / $300.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.12 / $335.00 / $433.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.76 / $313.83 / $562.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.20 / $105.72 / $187.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.49 / $221.36 / $374.87