go back

West 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
$85.11 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $131.83 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $281.84 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $95.50 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $645.65 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $117.49 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $467.74 / $1,778.28
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $144.54 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $512.86 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $100.00 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $380.19 / $891.25