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Wyoming 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
$81.11 / $81.11 / $82.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.09 / $475.00 / $548.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.87 / $140.00 / $140.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.22 / $335.00 / $407.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.00 / $1,464.00 / $2,706.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.00 / $356.00 / $658.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$675.00 / $1,108.00 / $2,048.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.59 / $718.65 / $1,363.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.77 / $149.38 / $319.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.94 / $557.16 / $1,034.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.82 / $749.40 / $1,769.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.23 / $160.99 / $280.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$396.23 / $576.03 / $1,489.37