go back

Nebraska rates for HCPCS 70558

Mri Brain Open Intracranial Px W/Contrast Matl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.33 / $797.48 / $1,344.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$928.92 / $928.92 / $928.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$753.90 / $753.90 / $753.90
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.62 / $516.23 / $928.92