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See a sample rate comparisonCPT 70542 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70542 |
| Medicaid Fee Schedule | View Medicaid rates for 70542 |
National average reimbursement for CPT 70542 by major payers:
$378.64
$466.34
$501.64
$519.88
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CPT 70542
5 of 25 sample ratesHigher to lower in this preview
Gary Morris
Northern Arizona Healthcare Corporation
$1,016.40Published rateNavjot Singh
Northern Arizona Healthcare Corporation
$1,016.40Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$640.64Published rateChristopher Mueller
Northern Arizona Healthcare Corporation
$196.63Published rateJordan Selzer
Northern Arizona Healthcare Corporation
$70.87Published rate
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See a sample payer proposalCPT 70542 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70542 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 70542 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 70492-CPT | Moderate | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70540-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70542-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70543-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70542. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70542 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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