go back

Illinois 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
$125.56 / $211.32 / $280.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$164.81 / $164.81 / $164.81
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.65 / $183.11 / $707.62
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00