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Delaware 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
$109.24 / $141.80 / $3,556.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.85 / $475.00 / $590.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.27 / $140.00 / $386.24
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$164.93 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.57 / $335.00 / $374.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.88 / $647.37 / $1,271.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.52 / $120.22 / $203.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.37 / $499.85 / $1,124.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.98 / $381.39 / $381.39
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.58 / $189.51 / $1,109.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.02 / $505.43 / $1,318.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.45 / $133.38 / $256.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.66 / $428.14 / $1,184.98