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Missouri rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.36 / $149.61 / $243.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $675.37 / $2,843.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.85 / $156.51 / $624.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $518.87 / $1,087.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.06 / $247.06 / $247.06
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.29 / $109.37 / $149.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.84 / $618.76 / $1,278.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.60 / $131.12 / $235.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$333.24 / $480.24 / $1,042.61
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
$409.01 / $777.34 / $1,519.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.43 / $152.82 / $261.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.55 / $632.99 / $1,338.96
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$781.84 / $1,000.96 / $1,000.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.14 / $980.93 / $5,967.97
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.20 / $156.81 / $937.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$433.20 / $822.34 / $5,400.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.16 / $787.19 / $1,598.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.99 / $137.72 / $259.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$421.07 / $638.13 / $1,347.84