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Nebraska 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
$239.88 / $338.84 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $645.65 / $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
$363.08 / $575.44 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $954.99
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.80 / $245.47 / $371.54
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.60 / $616.60 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $776.25