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Arizona rates for HCPCS 75563

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$195.86 / $473.81 / $592.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $534.04 / $1,115.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.74 / $481.99 / $602.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.58 / $159.58 / $159.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.53 / $801.40 / $1,098.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,307.92 / $1,307.92 / $1,307.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $725.65 / $4,924.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.42 / $606.29 / $1,081.59