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West Virginia 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
$108.53 / $119.38 / $119.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $438.22 / $624.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.53 / $140.00 / $228.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $329.69 / $488.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $121.55 / $121.55
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
$451.96 / $1,047.63 / $4,359.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.97 / $157.61 / $514.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.04 / $865.96 / $2,613.56
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.15 / $185.19 / $285.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.97 / $1,053.95 / $1,924.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.66 / $140.94 / $299.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.03 / $793.89 / $1,739.95