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North Carolina rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.70 / $96.86 / $142.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.35 / $425.00 / $1,111.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.70 / $118.59 / $249.97
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.18 / $148.16 / $336.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.65 / $282.87 / $526.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.57 / $85.07 / $177.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.20 / $223.20 / $223.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.97 / $207.36 / $257.91
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$494.26 / $754.63 / $1,033.11
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
$362.02 / $692.76 / $1,406.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.95 / $139.35 / $244.46
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.64 / $531.14 / $1,161.88
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.43 / $148.00 / $260.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $287.00 / $550.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.43 / $128.43 / $311.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $275.51 / $457.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.45 / $565.00 / $915.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.77 / $118.10 / $241.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.63 / $415.32 / $645.49
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$612.55 / $771.20 / $771.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.99 / $3,548.99 / $3,548.99
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$672.00 / $672.00 / $675.90
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,086.80 / $3,086.80 / $3,086.80