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Arizona rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.28 / $373.22 / $466.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.05 / $475.00 / $618.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.98 / $266.98 / $266.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.04 / $314.33 / $392.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.63 / $494.49 / $696.37
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,031.35 / $1,031.35 / $1,031.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.77 / $441.73 / $3,148.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.38 / $374.15 / $657.86