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Rhode Island rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$542.40 / $542.40 / $542.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.31 / $565.34 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.58 / $140.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.77 / $420.00 / $446.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.68 / $491.39 / $929.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.63 / $120.90 / $168.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.33 / $370.49 / $421.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.82 / $709.13 / $805.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.39 / $170.79 / $181.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.14 / $538.34 / $602.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.92 / $547.73 / $719.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.67 / $106.84 / $179.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.38 / $381.04 / $590.73