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New Hampshire rates for HCPCS 70555

Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing

Facilitymedian $468 · 10th–90th $115–$4680%50%10th$468$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $128.82 / $588.84