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Washington 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
$138.00 / $270.56 / $441.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $498.49 / $1,176.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.00 / $145.65 / $389.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.61 / $360.49 / $787.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.44 / $682.76 / $770.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.95 / $235.56 / $326.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $1,142.00 / $1,142.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.46 / $900.84 / $3,919.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.24 / $301.29 / $998.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$368.21 / $645.96 / $3,292.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.86 / $773.35 / $1,315.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.96 / $221.43 / $384.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.81 / $555.04 / $951.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.34 / $275.91 / $1,002.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.81 / $930.81 / $1,528.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.52 / $255.62 / $334.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$336.97 / $669.63 / $1,202.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $338.47 / $798.39
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.55 / $240.15 / $246.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.35 / $268.35 / $268.35
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.52 / $210.54 / $262.26
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.00 / $497.06 / $813.16
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.99 / $163.99 / $164.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.64 / $882.68 / $1,083.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$187.13 / $279.41 / $339.77
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.51 / $604.91 / $763.95
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.46 / $775.73 / $1,130.31
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.24 / $249.81 / $333.85
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$368.21 / $532.64 / $780.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.59 / $622.94 / $1,168.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.74 / $137.18 / $355.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.85 / $474.87 / $816.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.24 / $416.24 / $416.24
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.33 / $127.33 / $127.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.91 / $288.91 / $288.91