go back

Indiana rates for HCPCS 70554

Mri Brain Functional W/O Physician Admnistration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.74 / $101.74 / $157.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94