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North Dakota rates for HCPCS 70557

Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.18 / $156.18 / $258.35
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.08 / $172.08 / $172.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$681.22 / $681.22 / $681.22