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North Carolina 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
$85.42 / $93.58 / $142.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.51 / $425.00 / $914.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.42 / $130.68 / $380.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.08 / $335.00 / $699.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.47 / $500.47 / $500.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.87 / $78.33 / $178.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.85 / $226.85 / $226.85
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.16 / $199.02 / $260.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$542.34 / $777.52 / $1,034.06
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
$439.60 / $713.67 / $1,245.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.40 / $141.66 / $245.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.37 / $568.19 / $1,054.68
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.18 / $149.00 / $263.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $384.00 / $497.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.18 / $131.18 / $314.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.45 / $353.79 / $786.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.84 / $621.64 / $1,034.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.40 / $119.59 / $234.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.38 / $464.34 / $797.12
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$614.96 / $774.40 / $774.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,043.62 / $3,048.68 / $3,048.68
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$854.80 / $854.80 / $854.80
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,573.94 / $2,632.62 / $2,632.62