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Delaware rates for HCPCS 75561

Cardiac Mri W/Wo Contrast & Further Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.78 / $159.38 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.90 / $475.00 / $612.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.94 / $140.00 / $188.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.95 / $335.00 / $423.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.95 / $651.37 / $912.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.97 / $135.00 / $220.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.53 / $488.10 / $758.79
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.47 / $153.47 / $153.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.31 / $640.70 / $955.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.19 / $142.51 / $284.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.01 / $562.97 / $717.64