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Rhode Island rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$679.42 / $679.42 / $679.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $600.00 / $2,180.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.89 / $150.25 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $420.00 / $676.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.29 / $690.94 / $1,335.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.30 / $153.29 / $210.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.36 / $537.65 / $571.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.54 / $1,002.31 / $1,287.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.21 / $203.59 / $227.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.82 / $786.66 / $1,130.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.53 / $867.11 / $1,150.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.59 / $133.30 / $240.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.39 / $657.97 / $910.17