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West Virginia rates for HCPCS 75557

Cardiac Mri Morphology & Function W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.89 / $111.89 / $111.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $400.00 / $475.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.16 / $124.16 / $124.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.41 / $543.60 / $1,927.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.93 / $513.60 / $1,005.28