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New Mexico 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
$102.83 / $102.83 / $178.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.60 / $475.00 / $700.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.40 / $197.27 / $433.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.91 / $515.99 / $741.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $135.43 / $326.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $558.76 / $741.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $441.49 / $851.63