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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
$112.20 / $169.82 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $398.11 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $524.81 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $707.95