go back

South Carolina rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.66 / $134.66 / $134.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.05 / $425.00 / $491.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.90 / $460.00 / $703.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.10 / $480.13 / $804.38
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.53 / $194.29 / $340.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $1,063.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $178.71 / $320.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.79 / $418.36 / $830.00