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Illinois rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.21 / $150.72 / $211.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.86 / $472.17 / $661.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.23 / $140.00 / $199.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.85 / $180.23 / $264.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.63 / $327.78 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.12 / $163.76 / $276.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.57 / $71.40 / $109.73
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.58 / $180.59 / $180.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.01 / $319.12 / $611.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.82 / $110.82 / $110.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.80 / $455.02 / $904.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.15 / $117.18 / $176.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.13 / $318.08 / $718.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.85 / $481.74 / $2,299.96
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.65 / $144.59 / $777.50
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.10 / $338.98 / $1,780.26
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.77 / $331.92 / $357.86
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.12 / $104.43 / $110.12
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.34 / $229.80 / $247.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.21 / $374.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.62 / $532.66 / $834.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.64 / $109.57 / $169.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.00 / $338.80 / $642.33