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Texas 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
$81.97 / $129.22 / $154.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$237.22 / $455.64 / $492.86
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94