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Missouri 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
$107.37 / $118.26 / $192.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.36 / $475.00 / $1,742.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.09 / $139.55 / $443.06
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$166.49 / $212.50 / $250.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.87 / $314.75 / $1,020.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.35 / $155.35 / $155.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.91 / $93.79 / $133.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.91 / $373.40 / $1,014.91
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.26 / $113.35 / $185.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.66 / $261.18 / $829.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.46 / $96.46 / $96.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $453.78 / $963.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.68 / $121.25 / $208.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.10 / $333.48 / $815.12
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$612.55 / $789.76 / $789.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.49 / $629.95 / $3,445.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.09 / $124.73 / $672.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.63 / $487.19 / $2,996.90
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.19 / $153.19 / $153.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.49 / $439.07 / $957.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.18 / $104.74 / $182.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.08 / $311.23 / $686.63