go back

Illinois rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.53 / $151.27 / $198.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.51 / $475.00 / $800.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.66 / $140.00 / $208.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.50 / $335.00 / $493.56
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.87 / $71.69 / $139.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.41 / $381.94 / $748.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.07 / $112.07 / $112.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.45 / $526.38 / $853.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.34 / $119.04 / $179.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.86 / $388.79 / $689.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.94 / $591.73 / $2,609.03
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.04 / $145.28 / $759.30
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.00 / $450.20 / $2,062.15
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.55 / $407.77 / $439.57
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.58 / $104.92 / $110.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.63 / $305.19 / $329.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.64 / $459.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $569.33 / $843.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.03 / $109.34 / $180.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.45 / $428.93 / $717.72