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Delaware 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
$107.88 / $140.05 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $475.00 / $804.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.60 / $140.00 / $165.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.00 / $335.00 / $638.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.27 / $913.37 / $1,304.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.33 / $116.51 / $200.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$359.99 / $649.00 / $1,165.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.55 / $478.55 / $751.98
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.26 / $108.05 / $1,096.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.82 / $1,068.33 / $1,290.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.98 / $127.24 / $250.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$351.73 / $612.26 / $1,162.86