go back

Missouri 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
$87.73 / $101.24 / $158.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.48 / $475.00 / $1,451.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.38 / $128.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.73 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.16 / $64.16 / $64.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.75 / $385.59 / $824.64
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.95 / $90.00 / $150.68
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.79 / $302.98 / $673.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.09 / $79.09 / $79.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.85 / $534.12 / $957.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.12 / $98.85 / $171.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.73 / $441.28 / $838.09
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$502.88 / $647.12 / $647.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.35 / $611.87 / $3,077.22
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.09 / $102.55 / $680.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.20 / $528.63 / $2,677.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.62 / $561.79 / $938.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.14 / $87.97 / $150.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.70 / $411.32 / $697.93