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West 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
$86.78 / $86.78 / $86.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.85 / $443.98 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.78 / $140.00 / $179.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.07 / $335.00 / $368.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.47 / $95.47 / $95.47
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
$309.51 / $643.19 / $2,183.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $127.08 / $414.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.34 / $483.22 / $1,614.99
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.44 / $222.44 / $222.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.58 / $518.09 / $1,029.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.37 / $117.51 / $209.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.94 / $449.93 / $867.76