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Maine rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.30 / $403.34 / $581.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.88 / $546.94 / $943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.07 / $417.65 / $753.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.76 / $494.18 / $709.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.88 / $524.80 / $756.41