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Kansas 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
$141.86 / $226.00 / $269.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.35 / $527.69 / $796.50
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$521.33 / $521.33 / $525.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $177.46 / $269.16
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$204.93 / $263.85 / $398.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.49 / $355.51 / $557.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.70 / $231.70 / $498.02
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.30 / $80.76 / $115.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.40 / $246.03 / $246.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.80 / $575.00 / $1,624.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.31 / $158.60 / $204.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.58 / $401.00 / $1,429.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$791.52 / $1,013.76 / $1,013.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.90 / $889.40 / $6,146.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.88 / $158.38 / $921.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.50 / $782.52 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.64 / $630.09 / $1,247.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.88 / $129.02 / $222.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.35 / $426.85 / $987.17