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Wyoming 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
$105.59 / $105.59 / $107.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.72 / $465.17 / $475.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.00 / $1,219.00 / $2,252.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.10 / $596.96 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.79 / $627.57 / $1,353.01