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Virginia 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
$118.59 / $155.65 / $294.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.51 / $475.00 / $655.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.42 / $126.00 / $160.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.30 / $335.00 / $489.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.54 / $404.79 / $669.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.87 / $96.30 / $148.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.40 / $306.14 / $506.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.13 / $568.45 / $1,633.67
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.48 / $97.00 / $121.25
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$424.30 / $471.45 / $598.74
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
$314.91 / $595.39 / $978.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.54 / $111.53 / $201.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.77 / $471.65 / $774.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.20 / $390.24 / $478.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.81 / $93.66 / $113.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.38 / $299.26 / $366.74
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$130.07 / $149.00 / $270.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.67 / $489.00 / $855.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.34 / $524.86 / $898.75
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.35 / $120.66 / $191.06
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.61 / $434.72 / $663.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.45 / $513.28 / $832.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.90 / $109.37 / $181.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.54 / $388.00 / $685.82