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Washington, DC 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
$118.59 / $452.16 / $878.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $425.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.59 / $126.00 / $233.49
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$200.00 / $200.00 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $299.00 / $335.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.04 / $534.91 / $3,203.64
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.18 / $128.68 / $164.29
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$393.38 / $411.39 / $678.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.39 / $999.67 / $1,768.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.86 / $157.99 / $335.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.00 / $796.24 / $1,250.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.05 / $770.86 / $770.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.08 / $237.79 / $237.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.97 / $533.08 / $533.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.88 / $526.32 / $1,187.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.87 / $126.13 / $366.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.50 / $438.88 / $821.21