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Georgia 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
$85.11 / $204.17 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $154.88 / $338.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $416.87 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $162.18 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $323.59 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $138.04 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.38 / $602.56 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $977.24 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $162.18 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $776.25 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $141.25 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $478.63 / $2,754.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $691.83 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $128.82 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.11 / $691.83 / $1,258.93