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Alaska rates for HCPCS 71552

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$335.73 / $335.73 / $335.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $2,459.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $658.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,801.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.75 / $1,125.00 / $1,798.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$163.36 / $337.50 / $367.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$551.40 / $787.50 / $1,430.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.85 / $1,384.74 / $2,989.09
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$258.77 / $316.06 / $777.10
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$830.87 / $1,074.24 / $2,211.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.75 / $2,073.50 / $3,482.13
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$400.00 / $432.00 / $722.25
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,383.75 / $1,656.20 / $2,771.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.98 / $1,818.75 / $3,416.35
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$337.50 / $477.00 / $710.73
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,249.56 / $1,860.00 / $2,771.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.60 / $1,600.94 / $2,795.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.76 / $394.95 / $671.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$999.64 / $1,273.97 / $2,073.10