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Nebraska 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
$96.71 / $522.19 / $880.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$556.79 / $556.79 / $556.79
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$455.64 / $455.64 / $455.64
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$324.22 / $333.67 / $556.79