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Maine rates for HCPCS 75559

Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.79 / $1,100.00 / $1,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.01 / $1,906.22 / $3,128.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.95 / $544.04 / $777.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.98 / $732.07 / $1,094.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.73 / $558.03 / $1,006.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.16 / $1,100.00 / $1,100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $1,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.48 / $615.66 / $1,051.11