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Wisconsin rates for HCPCS 70552

Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)

Facilitymedian $195 · 10th–90th $178$7760%20%40%10th90th$195Professionalmedian $288 · 10th–90th $100$7410%5%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $144.54 / $234.42
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $338.84 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $389.05 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $257.04 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $812.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $208.93 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $575.44 / $794.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $831.76
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $186.21 / $251.19
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $416.87 / $588.84
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $776.25 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $190.55 / $676.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $575.44 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $602.56
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $831.76 / $1,122.02
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $199.53 / $338.84
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $616.60 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $2,454.71
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,995.26 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $436.52 / $676.08
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $1,698.24 / $3,090.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,862.09 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $489.78 / $602.56
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $1,348.96 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $338.84 / $645.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $489.78 / $977.24