go back

Massachusetts rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.37 / $153.79 / $318.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.05 / $445.14 / $845.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.89 / $800.32 / $1,008.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.54 / $558.80 / $3,148.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $52.37 / $69.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.68 / $617.77 / $976.25
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.88 / $277.12 / $526.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.88 / $657.10 / $901.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.76 / $158.76 / $196.93
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$800.32 / $1,008.32 / $1,008.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.17 / $590.77 / $3,148.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.17 / $488.65 / $820.17