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Arizona rates for HCPCS 70554

Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$354.81 / $436.52 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $114.82 / $165.96
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $457.09 / $457.09