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North Dakota rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.70 / $116.70 / $188.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.17 / $323.31 / $475.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.64 / $683.22 / $716.50
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
$390.63 / $593.03 / $858.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,031.35 / $1,031.35 / $1,031.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.16 / $612.71 / $3,148.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.73 / $612.71 / $920.39