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Missouri rates for HCPCS 75561

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.31 / $169.81 / $278.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $547.24 / $2,372.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $186.15 / $502.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.31 / $368.50 / $1,020.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.53 / $127.36 / $156.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.65 / $502.14 / $1,182.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.30 / $156.00 / $267.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.35 / $347.09 / $933.33
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
$333.28 / $609.13 / $1,095.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.00 / $172.50 / $295.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.43 / $424.69 / $874.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$888.48 / $1,142.00 / $1,142.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.94 / $684.34 / $3,919.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.77 / $174.61 / $771.93
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.08 / $503.71 / $3,292.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.24 / $600.04 / $1,077.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.37 / $152.76 / $263.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.69 / $414.82 / $838.53