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Alaska rates for HCPCS 71550

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.01 / $217.01 / $217.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $1,566.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $425.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,140.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.48 / $900.00 / $1,287.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.50 / $237.95 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$404.99 / $630.00 / $1,049.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $988.83 / $2,131.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$166.58 / $204.10 / $502.21
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$610.19 / $788.94 / $1,628.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.75 / $1,483.30 / $2,494.26
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$257.50 / $278.10 / $468.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,016.25 / $1,214.20 / $2,029.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.66 / $1,303.75 / $2,447.06
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.64 / $312.00 / $464.88
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$915.08 / $1,362.00 / $2,029.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.79 / $975.40 / $1,944.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.40 / $307.77 / $436.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$732.05 / $1,098.08 / $1,555.63