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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
$87.42 / $138.59 / $162.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.80 / $550.00 / $966.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.42 / $138.59 / $199.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.38 / $417.57 / $664.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.94 / $372.80 / $788.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.43 / $103.98 / $198.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $347.31 / $513.69
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $492.00 / $880.32
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.77 / $100.77 / $107.89
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
$396.11 / $667.10 / $1,419.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.78 / $127.77 / $222.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$305.72 / $539.73 / $1,218.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$781.84 / $981.20 / $1,000.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,967.97 / $6,147.01 / $6,147.01
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$937.83 / $937.83 / $937.83
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,400.50 / $5,562.51 / $5,562.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.24 / $761.61 / $1,846.32
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.56 / $170.79 / $414.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.50 / $590.83 / $1,432.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $431.62 / $631.69
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.33 / $122.33 / $122.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.60 / $716.76 / $1,443.28
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.74 / $128.03 / $217.13
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.04 / $509.75 / $1,186.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.69 / $674.74 / $1,294.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.81 / $114.76 / $217.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$358.01 / $537.02 / $972.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $439.24 / $625.62
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.34 / $101.79 / $140.37
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.77 / $356.27 / $1,400.00