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North Dakota 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
$89.99 / $89.99 / $144.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.70 / $475.00 / $556.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.72 / $130.68 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.30 / $303.37 / $407.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.07 / $821.98 / $862.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.70 / $204.48 / $213.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$500.38 / $617.49 / $647.58
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
$490.07 / $650.23 / $993.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.58 / $157.33 / $216.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$377.53 / $504.72 / $753.40
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
$441.76 / $775.80 / $3,032.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.52 / $171.10 / $854.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.70 / $595.82 / $2,562.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.43 / $716.67 / $1,202.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.52 / $165.08 / $224.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.17 / $536.22 / $752.12