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Iowa rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.00 / $221.02 / $570.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.26 / $425.00 / $700.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$350.93 / $361.46 / $371.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.47 / $680.58 / $1,040.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.35 / $370.26 / $1,939.41
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.51 / $149.22 / $739.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$800.32 / $1,031.35 / $1,031.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.28 / $562.67 / $3,148.28
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$361.46 / $371.99 / $613.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $658.39 / $953.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.54 / $260.33 / $471.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.18 / $455.24 / $933.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.17 / $626.79 / $737.40