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Connecticut rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.95 / $371.53 / $485.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $661.50 / $3,496.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.40 / $166.95 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $433.05 / $1,020.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.50 / $1,399.57 / $1,660.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.80 / $250.10 / $308.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.90 / $1,160.63 / $1,377.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.20 / $1,305.06 / $1,865.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.25 / $149.04 / $274.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$522.17 / $1,156.97 / $1,645.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $1,100.18 / $1,507.85
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.16 / $121.86 / $222.31
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$419.87 / $522.94 / $893.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $164.22 / $205.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.42 / $959.86 / $1,753.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.55 / $160.66 / $363.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.44 / $773.64 / $1,410.35