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Virginia rates for HCPCS 70554

Mri Brain Functional W/O Physician Admnistration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $171.63 / $347.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.94 / $114.94 / $114.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.73 / $112.08 / $134.13
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.09 / $182.21 / $366.24