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Delaware 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
$94.01 / $110.36 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.09 / $475.00 / $637.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.87 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.22 / $335.00 / $439.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.45 / $565.29 / $716.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.64 / $92.93 / $158.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.86 / $452.10 / $610.12
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.28 / $106.28 / $866.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.82 / $532.45 / $874.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.98 / $102.23 / $200.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.75 / $408.34 / $670.41