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See a sample rate comparisonCPT 70551 Fee Schedule
CPT 70551 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Mri Of Brain And Brainstem, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Brain And Brainstem. 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 | View Medicare rates for 70551 |
| Medicaid Fee Schedule | $161.195 median of the 8 states in the free preview · View Medicaid rates for 70551 |
National average reimbursement for CPT 70551 by major payers:
$264.69
BCBS / Anthem
$370.39
UnitedHealthcare
$451.33
Aetna
$406.41
Cigna
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CPT 70551
5 of 25 sample ratesHigher to lower in this preview
Theresia Oklan
$3,018.79Published rateAlekist Quach
$361.73Published rateJason Liou
Town Center Orthopaedic Associates, P.C.
$266.76Published rateCoulter Cranston
Northwestern Memorial Healthcare
$190.25Published rateLindsey Wheatley
$72.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 70551 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70551. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 70551-CPT | Moderate | Mri Of Brain And Brainstem, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Brain And Brainstem. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70552-CPT | Moderate | Mri Of Brain And Brainstem, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Brain And Brainstem. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70553-CPT | Moderate | Mri Brain Stem W O W Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem Without Contrast Material Followed By Contrast Material S And Further Sequences |
| 70554-CPT | Moderate | Fmri Brain By Tech, Magnetic Resonance Imaging Brain Functional Mri Including Test Selection And Administration Of Repetitive Body Part Movement And Or Visual Stimulation Not Requiring Physician Or Psychologist Administration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70551 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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