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Utah 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
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.72 / $475.00 / $1,803.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $453.13 / $1,091.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $147.33 / $263.94
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.33 / $496.35 / $643.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $381.79 / $648.72