go back

Pennsylvania 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
$126.00 / $174.07 / $374.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.23 / $425.00 / $1,664.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.21 / $145.65 / $386.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.88 / $299.00 / $460.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $272.92 / $347.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.21 / $172.92 / $201.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.17 / $368.58 / $760.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.20 / $126.81 / $238.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.98 / $241.77 / $528.02
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
$322.95 / $628.92 / $1,101.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.42 / $149.13 / $241.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.56 / $445.92 / $819.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.02 / $565.85 / $1,478.01
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.66 / $160.46 / $253.40
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.79 / $347.19 / $494.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.49 / $701.42 / $729.59
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.01 / $138.26 / $217.91
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $182.06 / $403.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.89 / $475.00 / $1,531.93
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.94 / $171.65 / $380.52
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.94 / $311.17 / $729.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.01 / $654.16 / $916.80
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.38 / $139.38 / $139.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.87 / $595.51 / $1,100.75
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.32 / $149.13 / $246.17
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.78 / $421.37 / $807.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.57 / $120.57 / $141.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.12 / $365.58 / $657.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.61 / $120.57 / $141.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.62 / $245.01 / $515.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.14 / $547.71 / $952.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.54 / $140.87 / $239.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.89 / $355.56 / $654.35