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California rates for HCPCS 70553

Mri Brain Brain Stem W/O W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $169.68 / $665.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.11 / $475.00 / $2,219.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.84 / $199.08 / $514.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$163.81 / $237.50 / $1,056.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.20 / $335.00 / $1,030.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.92 / $350.96 / $714.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.76 / $122.94 / $244.75
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.74 / $402.81 / $449.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.94 / $838.44 / $1,767.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.47 / $146.69 / $294.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.08 / $691.96 / $1,549.36
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.79 / $477.98 / $1,164.99
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $137.94 / $334.46
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.22 / $341.21 / $818.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.88 / $123.88 / $123.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.95 / $635.83 / $1,535.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.98 / $133.50 / $304.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.77 / $471.39 / $1,356.58
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.06 / $416.13 / $561.78
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.21 / $120.10 / $162.13
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.85 / $296.02 / $399.64
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.51 / $1,943.51 / $1,943.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.04 / $433.38 / $794.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.09 / $155.66 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.39 / $347.19 / $680.87
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$993.60 / $993.60 / $1,013.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,146.58 / $6,330.97 / $6,330.97
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$921.60 / $921.60 / $921.60
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,551.18 / $5,717.71 / $5,717.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $246.92
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.88 / $123.88 / $123.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.83 / $697.47 / $1,399.72
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.94 / $133.22 / $303.74
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$387.59 / $387.59 / $387.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.15 / $482.13 / $1,356.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.89 / $1,215.89 / $1,215.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$373.09 / $373.09 / $373.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$842.79 / $842.79 / $842.79
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.51 / $462.70 / $2,323.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.04 / $554.20 / $1,254.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.26 / $120.60 / $276.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.34 / $399.33 / $990.32