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Utah 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
$478.63 / $2,884.03 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $2,398.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $389.05 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $891.25