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Hawaii rates for HCPCS 70555

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

Facilitymedian $135 · 10th–90th $117–$1580%10%20%10th90th$135Professionalmedian $138 · 10th–90th $120–$1620%50%10th90th$138$200.0

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
$117.49 / $134.90 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $138.04 / $162.18