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New Hampshire rates for HCPCS 75557

Cardiac magnetic resonance imaging for morphology and function without contrast material;

Facilitymedian $447 · 10th–90th $107–$4470%50%10th$447Professionalmedian $468 · 10th–90th $309–$8130%10%10th90th$468$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $645.65 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $630.96 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $1,000.00
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $89.13 / $107.15