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North Dakota rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.63 / $89.63 / $143.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.94 / $332.97 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.39 / $122.99 / $199.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$131.97 / $155.79 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.60 / $227.87 / $368.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.79 / $668.62 / $701.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.04 / $203.67 / $212.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.76 / $464.95 / $487.60
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
$396.50 / $635.07 / $998.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.16 / $155.25 / $215.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.27 / $447.36 / $838.41
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
$354.73 / $644.64 / $3,445.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.93 / $178.68 / $672.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.85 / $461.38 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.62 / $580.46 / $968.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $164.36 / $223.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.31 / $416.45 / $722.51