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Arkansas rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.94 / $137.88 / $147.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.03 / $496.33 / $661.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.94 / $145.65 / $201.45
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$125.00 / $248.17 / $317.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$305.00 / $348.65 / $487.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.21 / $140.19 / $154.77
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.18 / $275.18 / $275.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.77 / $398.09 / $442.32
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.66 / $121.32 / $134.80
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.11 / $276.77 / $307.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.62 / $588.42 / $918.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.70 / $128.02 / $184.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.40 / $396.70 / $750.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.19 / $159.38 / $177.99
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.45 / $316.45 / $316.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.95 / $521.01 / $713.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.37 / $130.88 / $171.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.52 / $347.43 / $658.42