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Georgia rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.00 / $204.39 / $472.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $522.50 / $1,577.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $310.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,032.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.94 / $372.59 / $416.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.82 / $151.46 / $198.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.30 / $699.45 / $1,554.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.68 / $131.32 / $283.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$358.17 / $559.58 / $1,331.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.33 / $122.33 / $122.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.54 / $1,067.49 / $1,992.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.75 / $171.99 / $298.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.72 / $875.07 / $1,661.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.25 / $808.66 / $2,779.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.37 / $175.40 / $397.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$392.89 / $714.34 / $2,779.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $550.09 / $853.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.30 / $910.98 / $1,581.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.61 / $145.44 / $284.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$430.63 / $749.41 / $1,289.38