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Nebraska rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.23 / $570.15 / $961.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.17 / $297.83 / $1,852.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.62 / $531.89 / $565.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$613.62 / $613.62 / $613.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.30 / $637.11 / $823.21
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
$451.52 / $597.35 / $3,148.28
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$361.46 / $371.99 / $613.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $658.39 / $923.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.21 / $580.04 / $752.53