go back

Virginia rates for HCPCS 75561

Cardiac Mri W/Wo Contrast & Further Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $211.09 / $384.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.07 / $507.32 / $819.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.25 / $155.65 / $237.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.88 / $348.98 / $562.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.51 / $440.55 / $728.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.64 / $138.74 / $213.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.56 / $298.68 / $493.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.91 / $601.34 / $1,268.68
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.99 / $144.31 / $173.32
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$452.30 / $462.68 / $738.28
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
$340.74 / $677.81 / $1,119.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.60 / $160.60 / $279.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.13 / $505.65 / $816.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.78 / $419.73 / $517.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.57 / $135.35 / $162.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.21 / $288.25 / $353.25
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.45 / $214.93 / $375.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $497.00 / $932.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $610.96 / $942.61
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.76 / $170.04 / $274.26
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.61 / $495.99 / $682.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.59 / $555.89 / $974.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.36 / $148.85 / $248.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.85 / $408.75 / $790.38