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Indiana rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.50 / $141.50 / $219.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.29 / $465.01 / $604.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.75 / $801.20 / $1,137.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.44 / $282.00 / $521.49
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
$424.92 / $859.88 / $1,283.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.11 / $659.59 / $1,179.90