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Michigan 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
$129.13 / $129.13 / $129.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.85 / $82.85 / $129.13