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See a sample rate comparisonCPT 70543 Fee Schedule
Medicare rates as of October 2026
CPT 70543 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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 | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $337.02 national non-facility rate (2026) · View Medicare rates for 70543 |
| Medicaid Fee Schedule | $277.465 median of the 8 states in the free preview · View Medicaid rates for 70543 |
National average reimbursement for CPT 70543 by major payers:
$456.82
BCBS / Anthem
$634.12
UnitedHealthcare
$632.64
Aetna
$693.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 70543.
CPT 70543
5 of 25 sample ratesHigher to lower in this preview
Adventhealth Polk South Inc, Adventhealth Lake Wales
$958.38Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$828.27Published rateTexarkana Pet/Ct Imaging Institute, L.P.
Texarkana Petct Imaging Institute Lp
$732.66Published rateEmerus Bhs Sa Thousand Oaks LLC
$368.11Published rateSt Elizabeth Southwoods Imaging LLC, Southwoods Imaging Center
St Elizabeth Southwoods Imaging LLC
$88.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 70543 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70543. Select one to see its fee schedule.
| 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 70543. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70543 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, allied health professionals, and other healthcare providers to report medical, surgical, and diagnostic services and procedures to entities such as insurance companies. They are essential for accurate billing and record-keeping in healthcare.
To find the cost of a specific medical procedure, especially one identified by a CPT code, you can use specialized tools that provide fee schedule lookups. For a comprehensive and specific search, it's recommended to use platforms like Payerprice. Payerprice offers a fee schedule lookup tool where you can input the CPT code and your specific location to get relevant pricing information.
Payerprice is a platform that provides a fee schedule lookup tool designed to help users find the cost of medical procedures. It allows users to search for pricing information based on CPT codes and specific geographical locations, offering transparency in healthcare costs.
While CMS (Centers for Medicare & Medicaid Services) provides extensive data on Medicare reimbursement rates, Payerprice offers a broader fee schedule lookup tool that can provide more general or commercial pricing information relevant to various payers and specific locations. Payerprice's tool is designed for users to search directly with CPT codes and specific locations, which can be more useful for understanding a wider range of healthcare costs beyond just Medicare rates.
You should use Payerprice for fee schedule lookup because it provides a user-friendly tool to search for specific medical procedure costs. Its ability to filter by CPT code and specific location allows for highly relevant and localized pricing information, which can be crucial for patients, providers, and others seeking to understand healthcare expenses.
Yes, Payerprice's fee schedule lookup tool is specifically designed to allow users to search for pricing information based on both the CPT code and their specific location, ensuring that the retrieved cost data is relevant to their geographical area.