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Ohio 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
$88.39 / $150.26 / $294.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.70 / $475.00 / $846.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.51 / $140.00 / $260.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.30 / $335.00 / $688.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $631.91 / $631.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.83 / $111.69 / $139.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.28 / $423.40 / $733.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.28 / $101.03 / $179.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.52 / $325.47 / $564.30
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.66 / $556.66 / $556.66
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.00 / $146.00 / $146.00
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$410.67 / $410.67 / $410.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $246.85 / $380.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.72 / $96.95 / $96.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.42 / $525.00 / $983.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $115.69 / $192.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.72 / $402.64 / $751.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.72 / $87.72 / $96.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.24 / $515.00 / $943.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.43 / $119.93 / $210.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.85 / $367.50 / $729.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.04 / $262.44 / $431.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.34 / $448.65 / $775.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.95 / $100.26 / $183.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.33 / $337.85 / $614.89