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Hawaii rates for HCPCS 70554

Mri Brain Functional W/O Physician Admnistration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.47 / $113.87 / $133.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.15 / $119.08 / $138.91