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Illinois rates for HCPCS 70554

Mri Brain Functional W/O Physician Admnistration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.66 / $178.66 / $240.30
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.08 / $131.08 / $131.08
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.96 / $156.77 / $629.39
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00