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New York 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
$105.21 / $119.52 / $229.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.44 / $475.00 / $1,108.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.87 / $128.85 / $264.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $717.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.14 / $418.50 / $1,167.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.11 / $94.06 / $201.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.03 / $315.27 / $852.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.95 / $404.47 / $528.42
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
$299.72 / $690.56 / $1,715.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.38 / $121.06 / $267.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.72 / $544.54 / $1,323.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.25 / $473.43 / $807.16
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.78 / $109.18 / $190.84
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.83 / $338.31 / $616.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.99 / $496.31 / $710.36
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.56 / $100.53 / $177.23
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.32 / $306.20 / $533.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.41 / $467.05 / $819.75
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.29 / $109.56 / $179.93
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.95 / $96.95 / $96.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.42 / $680.00 / $1,438.80
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.80 / $130.86 / $260.77
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.72 / $519.40 / $1,312.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.06 / $448.00 / $974.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.89 / $91.67 / $216.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.06 / $336.22 / $831.55
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.87 / $98.87 / $285.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.99 / $512.23 / $938.66
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.56 / $128.69 / $223.42
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.08 / $386.71 / $705.41