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Utah rates for HCPCS 0542T

Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative analysis of magnetic dipoles, machine learning-derived clinical scoring, and automated report generation, single study; interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $15.06 / $15.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $15.06 / $16.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $18.00 / $19.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $14.94 / $27.60