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Wisconsin rates for HCPCS 70555

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

Facilitymedian $275 · 10th–90th $245$6030%20%10th90th$275Professionalmedian $309 · 10th–90th $309$3090%50%100%$309$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$309.03 / $363.08 / $575.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $741.31 / $741.31
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03