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Maine rates for HCPCS 70553

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

Facilitymedian $151 · 10th–90th $123$1660%20%10th90th$151Professionalmedian $295 · 10th–90th $112$7240%10%10th90th$295$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $147.91 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $165.96 / $331.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$138.04 / $165.96 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $331.13 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $154.88 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $309.03 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $933.25 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $676.08 / $1,230.27
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $478.63 / $912.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $158.49 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $323.59 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $165.96 / $14,791.08
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $1,071.52
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $165.96 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $512.86 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $162.18 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $346.74 / $891.25