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Wyoming rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.79 / $80.79 / $82.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $443.37 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $139.52 / $140.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$139.56 / $221.69 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.96 / $303.85 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $1,187.00 / $2,193.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.00 / $355.00 / $656.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$506.00 / $832.00 / $1,537.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.16 / $627.24 / $1,240.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.90 / $146.54 / $317.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.61 / $450.00 / $868.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.60 / $605.29 / $1,705.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.95 / $160.36 / $289.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$344.96 / $429.06 / $1,430.01