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Virginia 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
$118.59 / $155.65 / $293.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.35 / $425.00 / $640.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.70 / $126.00 / $156.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$133.54 / $203.72 / $262.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.40 / $299.00 / $415.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.30 / $327.76 / $541.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.83 / $96.08 / $148.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.47 / $229.51 / $386.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.79 / $456.16 / $1,902.91
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.22 / $96.33 / $120.41
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.55 / $359.83 / $469.83
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
$253.94 / $558.88 / $938.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.34 / $111.66 / $205.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.98 / $407.90 / $755.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.37 / $316.05 / $388.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.59 / $93.39 / $113.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.77 / $225.33 / $276.14
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.26 / $148.00 / $264.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.19 / $394.00 / $865.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.94 / $433.71 / $884.57
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.54 / $119.70 / $189.53
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.19 / $329.37 / $585.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.82 / $468.66 / $836.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.41 / $103.69 / $178.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.19 / $326.42 / $705.89