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Oklahoma 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
$119.50 / $133.60 / $684.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.93 / $117.93 / $166.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$280.44 / $535.50 / $535.50