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Massachusetts rates for HCPCS 70552

Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $138.04 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $151.36 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $331.13 / $691.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $776.25 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $3,548.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $117.49 / $676.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $446.68 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $165.96 / $218.78
BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$47.86 / $275.42 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $630.96 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $123.03 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $457.09 / $812.83
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $295.12 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $870.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $128.82 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $316.23 / $562.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $173.78
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $776.25 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $3,548.13
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $117.49 / $676.08
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $446.68 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $117.49 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $371.54 / $758.58