go back

Minnesota rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.39 / $86.39 / $86.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.86 / $425.00 / $653.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $140.00 / $268.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$143.93 / $165.71 / $326.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.63 / $335.00 / $451.98
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.83 / $70.83 / $70.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.84 / $806.67 / $978.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.16 / $241.81 / $293.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.74 / $564.86 / $685.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$188.26 / $293.83 / $706.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.24 / $556.66 / $1,084.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.39 / $159.19 / $278.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.89 / $392.80 / $812.79
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.15 / $259.06 / $556.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.24 / $527.79 / $1,024.09
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.35 / $155.91 / $253.05
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.89 / $371.11 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$789.76 / $789.76 / $789.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.03 / $623.14 / $3,445.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.31 / $168.79 / $672.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.15 / $444.62 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.62 / $586.26 / $1,029.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.72 / $156.69 / $304.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.31 / $425.09 / $726.91