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North Carolina 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
$108.70 / $128.07 / $1,725.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.61 / $425.00 / $1,725.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.69 / $162.28 / $439.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$163.31 / $174.43 / $398.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.91 / $335.00 / $848.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.29 / $589.94 / $1,295.55
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.14 / $178.52 / $260.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.83 / $330.08 / $330.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $295.00 / $295.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.03 / $279.87 / $331.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$630.39 / $1,124.13 / $1,475.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.88 / $123.88 / $123.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.85 / $960.19 / $1,889.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.20 / $183.97 / $316.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.62 / $653.59 / $1,645.61
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$170.15 / $252.00 / $361.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $326.00 / $750.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.15 / $170.15 / $400.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.49 / $316.87 / $541.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.49 / $702.84 / $1,328.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.23 / $159.32 / $318.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.49 / $461.09 / $981.19
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$791.52 / $993.60 / $993.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,330.97 / $6,330.97 / $6,330.97
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$921.60 / $921.60 / $921.60
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,717.71 / $5,717.71 / $5,717.71