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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

Facilitymedian $155 · 10th–90th $91–$6310%20%10th90th$155$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $114.82 / $165.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $154.88
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $114.82 / $165.96