go back

Minnesota 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
$110.82 / $110.82 / $188.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.62 / $475.00 / $5,321.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.68 / $179.37 / $520.79
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$169.81 / $195.49 / $385.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.22 / $335.00 / $1,172.09
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.99 / $90.99 / $90.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.45 / $949.81 / $1,151.98
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.67 / $310.48 / $376.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$441.13 / $639.33 / $775.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$241.07 / $376.25 / $905.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.34 / $669.81 / $1,290.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.94 / $204.31 / $356.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.46 / $460.42 / $970.24
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.91 / $331.73 / $712.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.34 / $650.16 / $1,085.63
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$160.88 / $201.10 / $324.77
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.46 / $433.29 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,013.76 / $1,013.76 / $1,013.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.31 / $945.63 / $5,452.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.75 / $282.36 / $1,386.53
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$2,604.92 / $2,604.92 / $3,781.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.68 / $529.78 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.64 / $729.13 / $1,326.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.29 / $199.39 / $384.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.35 / $496.57 / $903.49