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Texas 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
$100.00 / $138.04 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $144.54 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $436.52 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $102.33 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $338.84 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $371.54 / $478.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,047.13
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $102.33 / $107.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $123.03 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $134.90 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $549.54 / $1,230.27
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$977.24 / $977.24 / $977.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$933.25 / $933.25 / $933.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.10 / $138.04 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $154.88 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $478.63 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $123.03 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $131.83 / $213.80
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $512.86 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $114.82 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $537.03 / $1,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $104.71 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $338.84 / $426.58