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Connecticut 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
$166.95 / $379.87 / $494.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $2,713.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.43 / $166.95 / $582.97
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$185.25 / $300.00 / $617.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.98 / $433.05 / $1,723.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.20 / $1,199.09 / $1,673.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.96 / $257.80 / $320.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.25 / $914.47 / $1,377.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.61 / $1,195.85 / $1,873.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.96 / $154.38 / $285.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.02 / $896.64 / $1,670.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.11 / $948.76 / $1,629.68
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.16 / $123.37 / $225.10
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.10 / $306.43 / $699.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.33 / $227.06 / $336.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.94 / $660.95 / $1,374.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.07 / $164.21 / $346.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.35 / $452.87 / $879.51