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Oregon 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
$104.00 / $214.46 / $436.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.46 / $494.18 / $1,972.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.46 / $180.14 / $518.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$139.31 / $237.50 / $442.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.38 / $355.51 / $925.25
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
$351.62 / $702.73 / $1,151.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.19 / $194.45 / $315.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.28 / $485.82 / $870.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.92 / $724.97 / $876.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$206.84 / $238.10 / $278.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$426.73 / $487.43 / $598.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.94 / $738.09 / $1,237.76
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$172.92 / $217.05 / $329.37
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.31 / $491.81 / $1,244.85
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.22 / $213.20 / $219.09
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.17 / $298.17 / $298.17
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.05 / $201.00 / $232.49
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$314.77 / $477.75 / $1,121.58
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.88 / $123.88 / $123.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.57 / $780.69 / $1,006.55
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.43 / $198.24 / $315.66
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$387.59 / $387.59 / $387.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.28 / $474.36 / $793.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,538.06 / $1,538.06 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.11 / $780.64 / $1,033.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.91 / $229.94 / $306.99
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$402.19 / $526.25 / $758.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.04 / $604.80 / $1,102.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.57 / $128.22 / $335.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.34 / $407.11 / $725.59