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Idaho 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
$157.12 / $410.12 / $413.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $522.50 / $1,014.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.75 / $167.64 / $386.40
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$202.92 / $301.50 / $507.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.97 / $368.50 / $669.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.83 / $309.39 / $931.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.87 / $101.56 / $205.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.97 / $207.84 / $628.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.50 / $1,199.50 / $2,382.10
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$891.79 / $891.79 / $891.79
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$307.70 / $307.70 / $1,490.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.23 / $596.75 / $780.64
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$172.92 / $199.12 / $232.66
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.31 / $397.63 / $464.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $175.18 / $449.02
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $714.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $672.67 / $780.64
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.91 / $219.89 / $265.52
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.87 / $452.79 / $515.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.04 / $559.54 / $1,179.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.80 / $123.50 / $221.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.34 / $405.36 / $973.55