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West Virginia 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 $120 · 10th–90th $110$1860%20%40%10th90th$120Professionalmedian $234 · 10th–90th $107$6760%10%10th90th$234$20.0$100.0$500.0$2.0K

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
$109.65 / $120.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $190.55 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $316.23 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $676.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $123.03 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $812.83 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $154.88 / $562.34
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $537.03 / $2,398.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $186.21 / $288.40
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $398.11 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $630.96 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $131.83 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $416.87 / $1,348.96