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Unlisted MRI Procedure

New Hampshire rates for HCPCS 76498

An MRI examination that does not correspond to any of the standard named magnetic resonance studies. It is used when the scan performed is unusual, combined, or newly developed, and the radiologist's report sets out exactly what was carried out. Because it covers many different situations, what it involves varies from case to case.

Facilitymedian $661 · 10th–90th $589$4,1690%20%10th90th$661Professionalmedian $398 · 10th–90th $100$1,4450%10%10th90th$398$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$588.84
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$398.11
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$741.31
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$446.68
Typical High
$3,090.30
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$5,754.40