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Wisconsin rates for HCPCS 70551

Mri Brain Brain Stem W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$146.32 / $164.13 / $188.74
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$83.41 / $83.41 / $94.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.91 / $494.18 / $2,346.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.70 / $164.13 / $810.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.28 / $161.82 / $308.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.53 / $308.79 / $724.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.05 / $470.08 / $1,547.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.39 / $162.61 / $534.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.66 / $328.09 / $1,012.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $155.25 / $271.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$182.93 / $213.77 / $284.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.29 / $709.39 / $806.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.08 / $245.50 / $278.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.50 / $463.88 / $527.14
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$656.72 / $656.72 / $1,754.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$285.58 / $285.58 / $285.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.22 / $735.03 / $2,872.81
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.82 / $218.17 / $605.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.08 / $487.68 / $2,498.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $126.15 / $308.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.70 / $582.33 / $2,046.99
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.78 / $656.72 / $656.72
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$96.55 / $285.58 / $285.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.34 / $1,572.65 / $2,872.81
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.40 / $365.90 / $584.49
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.44 / $1,341.18 / $2,498.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.48 / $2,755.77 / $2,755.77
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$321.30 / $911.00 / $911.00
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$847.49 / $1,844.77 / $1,844.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.66 / $569.39 / $1,332.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.96 / $185.21 / $357.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.84 / $384.40 / $1,146.88