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Minnesota 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
$112.68 / $112.68 / $112.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $425.00 / $674.76
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.71 / $92.71 / $92.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.32 / $829.88 / $1,006.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.66 / $383.41 / $922.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.00 / $555.82 / $1,122.18
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$212.89 / $338.05 / $726.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.87 / $556.52 / $1,041.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.73 / $605.54 / $3,148.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.17 / $585.66 / $1,043.25