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Arkansas rates for HCPCS 70553

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$146.54 / $176.61 / $190.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.06 / $541.72 / $882.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.55 / $176.40 / $363.80
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$145.41 / $293.39 / $401.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.38 / $368.50 / $462.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $501.68 / $547.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.14 / $178.31 / $199.12
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$310.80 / $323.37 / $520.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.59 / $470.63 / $522.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.32 / $155.28 / $172.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.27 / $315.35 / $350.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.99 / $211.12 / $366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.50 / $698.64 / $1,581.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.87 / $169.07 / $236.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.05 / $459.85 / $1,381.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.04 / $576.92 / $630.02
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.75 / $206.10 / $247.25
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$357.42 / $371.88 / $599.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.87 / $609.55 / $1,257.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.65 / $164.21 / $214.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.08 / $395.99 / $959.14