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Iowa rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$210.74 / $450.94 / $833.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $465.01 / $754.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$455.58 / $469.25 / $482.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.82 / $1,034.90 / $1,685.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.37 / $560.12 / $3,774.37
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.09 / $188.96 / $987.98
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,014.88 / $1,307.92 / $1,307.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.28 / $899.51 / $4,924.22
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$469.25 / $482.91 / $779.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.45 / $1,020.63 / $1,445.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $404.24 / $721.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.25 / $776.79 / $1,449.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.97 / $950.60 / $1,118.40