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Michigan 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
$109.76 / $109.76 / $109.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.09 / $475.00 / $926.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.12 / $140.00 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.22 / $335.00 / $507.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.26 / $169.92 / $169.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $479.23 / $681.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.22 / $134.22 / $134.22
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
$363.84 / $597.17 / $1,007.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.38 / $104.29 / $210.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.51 / $460.94 / $768.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.80 / $109.76 / $111.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.93 / $448.45 / $845.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.80 / $112.41 / $347.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.51 / $337.35 / $608.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $255.36 / $371.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.60 / $474.05 / $678.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.04 / $95.95 / $147.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.18 / $364.02 / $549.13