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Functional Brain MRI With Clinician-Run Testing

Missouri rates for HCPCS 70555

An MRI of the brain that maps which areas activate during activity, performed while a physician or psychologist personally administers the testing during the scan. The clinician chooses the tasks, judges whether the patient is performing them correctly, and adapts them as the session goes, which is needed for complex mapping such as language. It is used before brain surgery to locate areas that must be protected.

Facilitymedian $339 · 10th–90th $174$8130%20%10th90th$339$20.0$50.0$100.0$200.0$500.0

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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$338.84
Typical High
$812.83
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.84
Median
$134.90
Typical High
$194.98
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$281.84
Median
$537.03
Typical High
$537.03