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Wisconsin 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
$147.91 / $190.55 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $467.74 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $100.00 / $407.38
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$75.86 / $169.82 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $251.19 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $109.65 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $263.03 / $812.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $154.88 / $257.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $158.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $407.38 / $537.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $154.88 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $288.40 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$288.40 / $288.40 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $676.08 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $199.53 / $933.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $467.74 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $501.19 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.18 / $645.65 / $645.65
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$95.50 / $524.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $1,659.59 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $363.08 / $588.84
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $1,412.54 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.00 / $446.68 / $912.01
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$851.14 / $1,380.38 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $467.74 / $954.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $123.03 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $323.59 / $812.83