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Illinois rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.00 / $195.12 / $274.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $425.00 / $589.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.98 / $266.98 / $266.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $328.17 / $629.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.80 / $145.80 / $145.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.45 / $431.15 / $777.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.89 / $469.72 / $2,584.28
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.93 / $193.45 / $1,155.78
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
$333.97 / $339.92 / $365.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $150.33 / $382.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.91 / $473.76 / $774.31