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Michigan rates for HCPCS 75561

Cardiac Mri W/Wo Contrast & Further Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.66 / $156.66 / $164.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.90 / $475.00 / $714.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.19 / $156.66 / $409.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.95 / $335.00 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.21 / $162.49 / $230.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $492.78 / $607.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.79 / $193.87 / $193.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.43 / $280.95 / $467.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.38 / $139.38 / $139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.62 / $700.00 / $1,154.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.40 / $150.68 / $297.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.57 / $477.18 / $808.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.42 / $156.66 / $164.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.44 / $475.00 / $712.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.42 / $156.66 / $395.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.38 / $335.76 / $565.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $232.60 / $409.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.92 / $494.04 / $782.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.86 / $138.66 / $211.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.47 / $355.56 / $607.47