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Ohio 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
$87.97 / $150.49 / $293.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $425.00 / $843.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.09 / $126.00 / $240.97
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.85 / $149.52 / $296.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.40 / $288.32 / $685.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.20 / $188.20 / $188.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.52 / $103.22 / $138.94
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$513.22 / $513.22 / $513.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.59 / $180.59 / $180.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.38 / $407.77 / $728.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.87 / $100.18 / $178.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.03 / $293.64 / $564.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.34 / $185.87 / $273.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.48 / $96.46 / $96.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.52 / $455.13 / $908.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.31 / $114.61 / $190.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.40 / $317.19 / $714.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.48 / $87.48 / $96.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.52 / $450.00 / $931.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.87 / $119.11 / $190.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.86 / $314.27 / $653.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $208.67 / $343.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.60 / $388.01 / $739.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.40 / $99.86 / $179.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.49 / $259.07 / $532.57