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Oklahoma 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
$117.49 / $169.82 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $295.12 / $398.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $398.11 / $616.60
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $338.84 / $660.69