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California 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
$140.00 / $140.00 / $673.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.99 / $475.00 / $1,803.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.98 / $266.98 / $266.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.50 / $580.47 / $1,069.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.19 / $400.42 / $979.24
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 / $488.41 / $945.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.53 / $393.28 / $482.67
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.24 / $134.46 / $165.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.51 / $374.02 / $675.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.02 / $152.80 / $400.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,008.32 / $1,008.32 / $1,031.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.28 / $3,148.28 / $3,148.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $174.64
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.91 / $548.59 / $895.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.79 / $1,065.79 / $1,065.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $406.69 / $889.74