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South Carolina 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
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $218.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $831.76