go back

Arizona rates for HCPCS 75557

Cardiac magnetic resonance imaging for morphology and function without contrast material;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$389.05 / $478.63 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $125.89 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $426.58 / $831.76
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $436.52 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $630.96