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Illinois 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
$107.15 / $177.83 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $131.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $154.88 / $776.25
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00