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Indiana 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
$112.21 / $112.21 / $172.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.26 / $343.58 / $475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.62 / $545.28 / $799.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.46 / $191.26 / $344.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $521.51 / $801.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $406.08 / $711.84