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Pennsylvania 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
$72.44 / $105.21 / $241.92
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$26.25 / $85.00 / $220.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $425.00 / $1,415.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.77 / $126.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$100.60 / $187.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.25 / $299.00 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.36 / $153.71 / $201.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.85 / $92.16 / $115.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.12 / $192.73 / $192.73
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.01 / $94.06 / $604.29
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.36 / $342.90 / $842.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.03 / $114.14 / $172.73
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.33 / $224.08 / $710.76
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
$171.93 / $399.07 / $823.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.94 / $85.71 / $139.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.94 / $299.26 / $709.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.69 / $308.35 / $1,318.46
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.41 / $91.71 / $144.76
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.36 / $184.70 / $263.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.74 / $227.14 / $406.10
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.02 / $86.92 / $125.25
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.57 / $43.74 / $195.21
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.61 / $231.10 / $232.30
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.37 / $89.24 / $604.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.90 / $102.80 / $249.47
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$47.41 / $111.35 / $272.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $425.00 / $1,390.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.67 / $117.13 / $279.72
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$101.07 / $179.14 / $283.58
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.25 / $282.06 / $639.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $202.20 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.77 / $80.26 / $80.26
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$45.11 / $45.11 / $45.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.05 / $388.65 / $812.53
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.43 / $85.41 / $142.97
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.98 / $279.66 / $708.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.68 / $69.68 / $81.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $196.45 / $507.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.89 / $69.72 / $81.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.03 / $126.76 / $426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.23 / $290.70 / $641.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.06 / $81.87 / $140.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.93 / $183.34 / $503.53