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New York 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
$111.15 / $140.13 / $294.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.72 / $425.00 / $856.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.87 / $334.58 / $864.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $282.07 / $442.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.60 / $547.20 / $1,348.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.39 / $389.58 / $664.21
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.02 / $415.47 / $594.66
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.97 / $461.65 / $1,144.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.31 / $352.22 / $896.37
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.56 / $128.56 / $397.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.02 / $427.81 / $785.05