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North Dakota 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
$128.61 / $128.61 / $208.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.07 / $475.00 / $607.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.72 / $140.00 / $439.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.04 / $335.00 / $405.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.31 / $890.13 / $933.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.34 / $295.36 / $308.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$481.97 / $594.77 / $629.99
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
$514.92 / $773.24 / $1,160.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.43 / $223.31 / $312.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.75 / $523.17 / $879.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,142.00 / $1,142.00 / $1,142.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.45 / $821.50 / $3,919.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.07 / $245.18 / $771.93
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.30 / $568.76 / $3,292.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.78 / $771.10 / $1,258.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.28 / $233.60 / $320.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.30 / $547.29 / $830.43