go back

Utah rates for HCPCS 70551

Mri Brain Brain Stem W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $399.46 / $464.70
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$95.00 / $95.00 / $95.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.09 / $475.00 / $1,415.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.61 / $117.69 / $305.89
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$101.07 / $207.13 / $319.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.84 / $335.00 / $472.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.19 / $395.11 / $741.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.48 / $86.90 / $152.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.30 / $260.89 / $644.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $114.79 / $167.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.91 / $349.99 / $477.67
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.11 / $120.33 / $157.72
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.80 / $229.66 / $325.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $339.96 / $637.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.67 / $64.88 / $126.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.91 / $225.73 / $423.88