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Nebraska 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
$103.05 / $555.22 / $935.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.79 / $475.00 / $2,843.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.05 / $239.17 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $335.74 / $2,207.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.75 / $103.75 / $103.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.74 / $882.62 / $908.29
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.16 / $201.12 / $211.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$637.58 / $681.50 / $698.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$593.52 / $593.52 / $593.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $1,057.40 / $1,612.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.65 / $235.53 / $303.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$432.24 / $816.68 / $1,249.86
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,000.96 / $1,000.96 / $1,000.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.69 / $1,065.80 / $5,967.97
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.52 / $218.47 / $937.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$609.15 / $893.42 / $5,400.50
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$344.01 / $354.03 / $593.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.27 / $1,097.17 / $1,612.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.95 / $1,035.15 / $1,289.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.52 / $218.47 / $274.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$609.15 / $858.97 / $1,015.25