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See a sample rate comparisonCPT 70559 Fee Schedule
CPT 70559 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Mri Brain W O W Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem And Skull Base During Open Intracranial Procedure Eg To Assess For Residual Tumor Or Residual Vascular Malformation Without Contrast Material S Followed By Contrast Material S And Further Sequences
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70559 |
| Medicaid Fee Schedule | $137.71 median of the 3 states in the free preview · View Medicaid rates for 70559 |
National average reimbursement for CPT 70559 by major payers:
$899.09
BCBS / Anthem
$563.04
UnitedHealthcare
$468.81
Aetna
$1,457.88
Cigna
Compare published rates across providers.
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CPT 70559
5 of 25 sample ratesHigher to lower in this preview
Nishanth Khanna
Radiology Associates Of North Texas, PA
$6,832.87Published rateDouglas Wright
Radiology Associates Of North Texas, PA
$416.85Published rateHamish Patel
Northern Arizona Healthcare Corporation
$288.00Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$198.83Published rateAll Ways Homecare Inc
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 70559 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70559. 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. |
| 70557-CPT | High | Mri Brain W O Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem And Skull Base During Open Intracranial Procedure Eg To Assess For Residual Tumor Or Residual Vascular Malformation Without Contrast Material |
| 70558-CPT | Moderate | Advanced Imaging - Mr, Magnetic Resonance (Eg Proton) Imaging Brain (Including Brain Stem And Skull Base) During Open Intracranial Procedure (Eg To Assess For Residual Tumor Or Residual Vascular Malformation); With Contrast Material(S) |
| 70559-CPT | Moderate | Mri Brain W O W Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem And Skull Base During Open Intracranial Procedure Eg To Assess For Residual Tumor Or Residual Vascular Malformation Without Contrast Material S Followed By Contrast Material S And Further Sequences |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70559 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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