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Maine rates for HCPCS 75557

Cardiac magnetic resonance imaging for morphology and function without contrast material;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $794.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $870.96