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Ohio 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
$123.28 / $212.27 / $414.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.42 / $135.26 / $135.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.42 / $123.42 / $135.26