go back

Wyoming 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
$117.14 / $117.14 / $119.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.90 / $475.00 / $607.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.94 / $140.00 / $253.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.95 / $335.00 / $405.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.00 / $1,596.00 / $2,950.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$310.00 / $509.00 / $941.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$662.00 / $1,087.00 / $2,009.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.09 / $777.86 / $1,400.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.60 / $218.53 / $420.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$383.11 / $531.75 / $984.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.35 / $823.30 / $1,969.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.06 / $251.44 / $426.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.86 / $571.86 / $1,422.28