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Maryland rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.62 / $126.00 / $151.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $478.01 / $1,802.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.99 / $138.16 / $299.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $1,020.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.12 / $783.47 / $967.58
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.15 / $121.56 / $138.94
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$586.96 / $661.91 / $859.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.28 / $831.68 / $1,405.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.78 / $127.52 / $241.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.17 / $675.83 / $1,238.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.62 / $638.05 / $1,080.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.61 / $129.29 / $175.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.30 / $498.33 / $853.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.30 / $656.67 / $1,207.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.88 / $114.76 / $219.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$365.53 / $588.29 / $1,184.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.86 / $539.04 / $700.77
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.65 / $113.41 / $147.43
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.20 / $425.64 / $544.14