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Wyoming 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
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $208.93 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $389.05 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$275.42 / $426.58 / $812.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$954.99 / $1,479.11 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $223.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$562.34 / $812.83 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $199.53 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$616.60 / $912.01 / $2,187.76