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North Carolina 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
$110.53 / $126.00 / $184.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.05 / $425.00 / $910.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.73 / $285.73 / $285.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $631.45 / $1,121.34
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.94 / $194.29 / $305.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $254.00 / $450.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.99 / $491.81 / $778.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.91 / $528.28 / $909.63
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$800.32 / $1,008.32 / $1,008.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.28 / $3,148.28 / $3,148.28