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Michigan 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
$152.90 / $152.90 / $160.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.26 / $135.26 / $135.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.35 / $104.35 / $152.90