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Idaho rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$362.24 / $531.34 / $531.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $638.00 / $1,378.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.34 / $425.09 / $989.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,610.96 / $3,610.96 / $4,008.51
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1,652.93 / $1,652.93 / $1,652.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.55 / $784.81 / $1,039.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $226.40 / $591.82
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,387.45 / $1,387.45 / $1,387.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.01 / $895.30 / $1,039.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $571.40 / $1,176.56