go back

Illinois 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
$112.20 / $190.55 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $190.55 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $446.68 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $467.74 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $151.36 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $588.84 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,258.93 / $4,073.80
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $208.93 / $954.99
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $1,096.48 / $3,311.31
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $134.90 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$426.58 / $446.68 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $131.83 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $676.08 / $1,174.90