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Arizona rates for HCPCS 71555

Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.25 / $288.49 / $360.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.51 / $475.00 / $796.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.42 / $140.00 / $395.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $569.94
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.88 / $112.88 / $112.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.85 / $387.26 / $484.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $84.18 / $105.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.19 / $303.07 / $378.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.95 / $96.95 / $96.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $568.50 / $848.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.75 / $107.14 / $182.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.34 / $447.62 / $687.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$793.04 / $793.04 / $793.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.61 / $509.57 / $3,032.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.09 / $87.40 / $854.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.69 / $435.48 / $2,562.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.61 / $443.82 / $767.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.09 / $77.92 / $165.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.69 / $368.59 / $632.63