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Maryland 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
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $194.98 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $131.83 / $177.83