go back

Iowa 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
$143.12 / $273.98 / $506.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.97 / $475.00 / $1,460.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $128.00 / $216.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.30 / $335.00 / $517.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$270.11 / $278.20 / $286.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.60 / $815.86 / $1,309.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.58 / $192.37 / $264.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$367.08 / $620.03 / $1,087.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.70 / $547.51 / $1,647.70
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.78 / $127.55 / $397.62
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.93 / $405.71 / $1,250.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$614.96 / $793.04 / $793.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.61 / $669.72 / $3,032.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.65 / $114.14 / $854.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.02 / $417.84 / $2,562.41
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$278.20 / $286.32 / $470.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.85 / $815.86 / $1,146.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.60 / $452.60 / $1,464.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.02 / $465.97 / $1,194.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.65 / $110.01 / $256.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.27 / $351.83 / $706.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.74 / $754.10 / $887.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.19 / $187.60 / $220.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$447.54 / $566.50 / $666.50