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Louisiana rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.00 / $112.71 / $184.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $550.00 / $600.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.34 / $465.03 / $589.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.57 / $324.20 / $641.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.94 / $364.44 / $684.55