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Washington, DC rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $286.98 / $701.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $425.00 / $475.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.36 / $448.20 / $748.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.22 / $624.87 / $1,318.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.08 / $345.73 / $670.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.32 / $127.74 / $241.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.11 / $459.17 / $1,032.70