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Ohio 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
$127.03 / $210.20 / $420.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $475.00 / $1,106.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.40 / $154.00 / $264.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.04 / $335.00 / $874.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.64 / $289.47 / $513.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.18 / $136.11 / $190.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.30 / $483.75 / $856.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.13 / $150.21 / $282.75
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.82 / $319.20 / $584.41
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.98 / $390.98 / $606.35
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.96 / $135.96 / $210.85
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.02 / $255.02 / $395.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $272.73 / $474.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.53 / $139.38 / $139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.82 / $578.17 / $1,148.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.94 / $164.36 / $275.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.85 / $396.80 / $808.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.53 / $125.53 / $139.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.90 / $563.27 / $1,148.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.59 / $169.37 / $314.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.35 / $379.63 / $766.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.24 / $249.93 / $465.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.83 / $490.56 / $898.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.82 / $144.19 / $251.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.27 / $355.56 / $626.23