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New Hampshire 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

Facilitymedian $537 · 10th–90th $145–$5370%50%10th$537$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $199.53