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Maryland rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.57 / $126.00 / $162.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.32 / $475.00 / $1,372.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.29 / $140.00 / $236.99
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$143.93 / $212.50 / $686.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.28 / $335.00 / $801.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.55 / $456.16 / $555.32
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.49 / $96.33 / $115.28
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.85 / $359.83 / $469.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.12 / $490.00 / $863.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.58 / $100.33 / $191.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.77 / $369.97 / $683.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.81 / $367.40 / $623.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.60 / $101.74 / $150.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.03 / $258.04 / $517.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $372.10 / $830.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.64 / $91.31 / $154.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.04 / $281.27 / $621.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.85 / $309.85 / $402.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $88.94 / $115.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.02 / $220.91 / $282.41