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Tennessee 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
$160.16 / $513.50 / $542.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.32 / $103.32 / $114.94
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$237.22 / $492.86 / $492.86