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Wisconsin rates for HCPCS 71555

Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)

Facilitymedian $229 · 10th–90th $178$4370%20%10th90th$229Professionalmedian $363 · 10th–90th $100$1,0470%5%10th90th$363$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $199.53 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $151.36 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $363.08 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $446.68 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $933.25 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $223.87 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,047.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,023.29
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $186.21 / $251.19
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $562.34 / $776.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $177.83 / $851.14
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $660.69 / $2,570.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $691.83
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $831.76 / $1,288.25
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $199.53 / $338.84
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $691.83 / $1,047.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,862.09 / $3,019.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $436.52 / $851.14
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $1,548.82 / $2,630.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,137.96 / $2,951.21
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $501.19 / $602.56
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $1,819.70 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,174.90 / $2,691.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $398.11 / $645.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $537.03 / $1,071.52