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Arkansas rates for HCPCS 75561

Cardiac Mri W/Wo Contrast & Further Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$164.70 / $197.79 / $211.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.44 / $610.94 / $1,111.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.84 / $193.99 / $386.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.61 / $408.11 / $498.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.71 / $619.71 / $619.71
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$197.11 / $201.06 / $203.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.96 / $577.01 / $641.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.01 / $185.31 / $205.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.95 / $391.70 / $435.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.52 / $239.17 / $414.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.57 / $619.33 / $1,041.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.53 / $175.08 / $263.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.87 / $422.03 / $788.25
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.67 / $712.67 / $712.67
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$226.68 / $231.22 / $258.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.24 / $594.51 / $838.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.81 / $148.86 / $241.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.70 / $444.97 / $647.40