$190.90–$206.50
Use 70547 when the neck angiographic study is performed without contrast only; 70549 includes imaging both without and with contrast.
On this page
CMS RVU26D · Effective 2026-10-01
70549 Neck MRA Medicare reimbursement rates in Missouri
MR angiography of the neck performed both without and with contrast to assess cervical arteries, including carotid and vertebral vessels. Compare 70549 office and facility rates across CMS payment localities in Missouri.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 70549 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$304.58–$329.92
3 of 3 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 70549 pays more and less in Missouri
3 payment localities
$304.58 to $329.92
Radiology
About 70549: Neck MR angiography without and with contrast
MR angiography of the neck performed both without and with contrast to assess cervical arteries, including carotid and vertebral vessels.
This examination uses magnetic resonance angiography to depict arteries in the neck, including carotid and vertebral vessels, with image sets acquired before and after contrast. It is used to assess suspected narrowing, blockage, aneurysmal change, or dissection and to map cervical arterial anatomy. MRI technologists perform the acquisition in hospital imaging departments or freestanding centers; a radiologist interprets the vascular images.
Report 70549 when the documented study includes both noncontrast and contrast-enhanced neck angiographic imaging; use 70547 for neck MRA without contrast and 70548 for neck MRA with contrast alone. The record should identify the neck vessels examined, the imaging performed with and without contrast, and the interpreting report. The service may be billed globally, or the interpretation and technical work may be split with modifier 26 and TC, respectively. When multiple diagnostic imaging procedures are reported, CMS applies the multiple-procedure reduction to both the professional and technical components.
CMS billing rules for 70549
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.76 · 17%
- Practice expense (office) RVU8.39 · 82%
- Malpractice RVU0.13 · 1%
39.7K
Medicare services in 2024 · #873 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
70549 compared with similar codes
Office rates for Missouri, from the same CMS release.
$218.76–$236.24
Use 70548 when the neck angiographic study is performed with contrast only; 70549 includes imaging both without and with contrast.
$289.53–$314.44
70546 describes head MRA performed without and with contrast. Choose 70549 for the neck vessels; both codes may be reported when both regions are separately examined.
$300.75–$324.46
70543 is an MRI of the orbit, face, and neck soft tissues without and with contrast, not an angiographic study of neck vessels.
Compare 70549 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$326.17
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$329.92
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$304.58
Facility
Unavailable
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70549 billing questions
When should 70549 be selected instead of 70547 or 70548?
Use 70549 when the neck MRA includes imaging both without and with contrast. Use 70547 for imaging without contrast alone and 70548 for imaging with contrast alone.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
Can a head MRA be reported in the same encounter?
A separately performed and documented head MRA may be reported with the neck MRA when both regions are examined. CMS applies the diagnostic imaging multiple-procedure reduction to both components.
What documentation supports 70549?
The record should show that neck arteries were imaged both without and with contrast and include the interpreting report. It should identify the vessels or anatomy evaluated.
Does 70549 describe a soft-tissue MRI of the neck?
No. It describes angiographic imaging of neck vessels; a soft-tissue neck MRI evaluates different anatomy and is not a substitute for this vascular study.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,85070548,,Mr angiography neck w/dye,A,,1.46,5.78,,5.78,NA,0.11,7.35,7.35,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.13,11.13,0.14
7,85170548,26,Mr angiography neck w/dye,A,,1.46,0.52,,0.52,,0.08,2.06,2.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,85270548,TC,Mr angiography neck w/dye,A,,0.00,5.26,,5.26,NA,0.03,5.29,5.29,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
7,85370549,,Mr angiograph neck w/o&w/dye,A,,1.76,8.39,,8.39,NA,0.13,10.28,10.28,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.24,11.24,0.15
7,85470549,26,Mr angiograph neck w/o&w/dye,A,,1.76,0.62,,0.62,,0.09,2.47,2.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,85570549,TC,Mr angiograph neck w/o&w/dye,A,,0.00,7.77,,7.77,NA,0.04,7.81,7.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.06
7,85670551,,Mri brain stem w/o dye,A,,1.44,4.31,,4.31,NA,0.10,5.85,5.85,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.77,7.77,0.12