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North Dakota 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
$112.20 / $114.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $851.14
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $575.44 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $794.33