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Idaho 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
$285.26 / $285.26 / $285.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.41 / $475.00 / $901.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.99 / $274.93 / $601.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.44 / $1,855.44 / $2,059.71
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$848.17 / $848.17 / $1,025.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.39 / $517.48 / $685.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $178.29 / $492.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.57 / $587.73 / $685.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $352.68 / $707.02