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Pennsylvania rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.52 / $126.74 / $398.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $425.00 / $1,459.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $126.00 / $232.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.18 / $200.00 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.65 / $299.00 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $179.11 / $188.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.89 / $119.19 / $138.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.59 / $180.59 / $180.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.35 / $444.54 / $1,010.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.23 / $137.50 / $207.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.12 / $307.04 / $852.45
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
$240.35 / $511.39 / $957.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.20 / $103.30 / $168.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.81 / $381.72 / $784.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.10 / $425.97 / $1,504.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.18 / $110.71 / $174.72
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.97 / $271.36 / $386.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.83 / $312.83 / $312.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.78 / $103.16 / $157.40
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$270.02 / $270.02 / $270.02
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.52 / $138.60 / $403.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $437.75 / $1,362.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $128.66 / $279.72
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$139.56 / $212.50 / $352.75
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.96 / $299.00 / $689.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.81 / $288.41 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.54 / $96.46 / $96.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.47 / $493.55 / $922.00
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.96 / $103.04 / $172.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.79 / $381.72 / $784.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.94 / $83.94 / $97.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.48 / $271.39 / $607.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $84.01 / $97.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.47 / $187.45 / $510.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.20 / $395.55 / $718.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $95.53 / $165.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.49 / $274.89 / $611.23