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Montana 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
$291.72 / $475.00 / $1,803.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.41 / $171.41 / $451.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$171.41 / $171.41 / $211.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.93 / $546.75 / $739.45
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$171.41 / $171.41 / $211.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.62 / $476.11 / $728.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $385.51 / $571.05