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Georgia rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.00 / $170.89 / $377.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.04 / $475.00 / $1,029.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $135.74 / $245.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.37 / $340.00 / $796.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.87 / $138.60 / $151.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.25 / $531.35 / $1,007.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.59 / $109.83 / $230.30
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.39 / $396.66 / $809.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.95 / $96.95 / $96.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.47 / $685.54 / $1,204.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.40 / $147.16 / $249.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.07 / $514.83 / $941.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.11 / $574.08 / $1,583.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.96 / $143.41 / $313.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.14 / $430.67 / $1,396.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $382.57 / $628.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $563.28 / $966.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.66 / $115.44 / $200.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.97 / $432.64 / $748.73