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Wisconsin rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$231.26 / $257.81 / $296.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $491.13 / $931.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.14 / $684.54 / $2,240.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$289.26 / $338.02 / $449.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.36 / $1,009.06 / $1,146.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,031.35 / $1,031.35 / $1,031.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.20 / $900.89 / $3,148.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $188.32 / $483.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.29 / $801.63 / $1,220.15
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$262.83 / $1,031.35 / $1,031.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.99 / $1,553.25 / $3,148.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.79 / $1,797.99 / $2,034.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.73 / $808.08 / $1,399.86