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New York 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
$111.15 / $175.08 / $481.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.26 / $135.26 / $135.26
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.26 / $135.26 / $135.26
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.94 / $137.94 / $345.62