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Hawaii rates for HCPCS 75557

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

Facilitymedian $126 · 10th–90th $110–$1480%20%40%10th90th$126Professionalmedian $447 · 10th–90th $288–$8910%10%10th90th$447$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $125.89 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $446.68 / $562.34
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $363.08 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $131.83 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $645.65 / $1,023.29
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $933.25