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Rhode Island 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
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $831.76 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $194.98 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $457.09 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $138.04 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $478.63 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,000.00 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $204.17 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $794.33 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $128.82 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $645.65 / $954.99