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New Hampshire rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.35 / $449.76 / $449.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $445.14 / $1,320.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.36 / $581.91 / $822.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.22 / $652.29 / $1,106.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.79 / $554.11 / $1,027.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.06 / $487.76 / $879.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.43 / $365.09 / $547.64