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Delaware rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.66 / $109.90 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $475.00 / $637.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $140.00 / $323.81
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$139.56 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.96 / $335.00 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.30 / $517.02 / $786.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.20 / $92.53 / $153.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.13 / $381.72 / $679.65
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.84 / $105.84 / $105.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $461.97 / $761.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.95 / $100.58 / $199.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.04 / $490.96 / $881.64