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Maryland 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
$100.00 / $151.36 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $147.91 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $331.13 / $691.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $363.08 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $114.82 / $128.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $288.40 / $426.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $467.74 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $97.72 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $338.84 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $93.33 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $229.09 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $812.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $91.20 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $295.12 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $446.68
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $97.72 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $229.09 / $316.23