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Illinois rates for HCPCS 75561

Cardiac Mri W/Wo Contrast & Further Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.35 / $215.30 / $303.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.07 / $475.00 / $827.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.21 / $153.71 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.02 / $335.00 / $478.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $347.49 / $347.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.68 / $147.56 / $166.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.88 / $425.75 / $816.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$161.60 / $161.60 / $161.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.65 / $560.72 / $1,040.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.84 / $166.00 / $254.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.53 / $379.89 / $808.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.13 / $612.02 / $3,282.08
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.78 / $209.88 / $830.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.87 / $365.28 / $2,102.19
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.28 / $442.21 / $476.42
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.02 / $151.58 / $159.86
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.08 / $281.70 / $316.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $167.24 / $498.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.56 / $651.24 / $1,058.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.77 / $156.55 / $256.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.33 / $451.56 / $736.05