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Arizona rates for HCPCS 70555

Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.03 / $401.66 / $502.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.26 / $135.26 / $135.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$535.50 / $535.50 / $535.50