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Hawaii 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
$117.94 / $133.66 / $157.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.26 / $135.26 / $135.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.13 / $139.78 / $163.07