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Nebraska 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
$114.39 / $628.71 / $1,059.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$657.54 / $657.54 / $657.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$535.50 / $535.50 / $535.50
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$399.35 / $410.98 / $657.54