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Illinois 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
$114.82 / $194.98 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $331.13 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $436.52 / $776.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $758.58 / $3,162.28
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $239.88 / $1,288.25
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $338.84 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $776.25