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Texas rates for HCPCS 70558

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); with contrast material(s)

Facilitymedian $219 · 10th–90th $135–$1,0470%20%10th90th$219$50.0$100.0$200.0$500.0$1.0K

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
$134.90 / $213.80 / $288.40
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $190.55 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $177.83 / $218.78
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $199.53 / $281.84