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Colorado 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
$115.59 / $150.26 / $150.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.29 / $239.29 / $239.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.27 / $187.26 / $435.31